Whitehorse Family Medicine, Inc., P.S.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

WHITEHORSE FAMILY MEDICINE, INC., P.S.

Practice address

875 Wesley St Ste 250
Arlington, WA 98223-1668

Phone

(360) 435-2233

Fax

(360) 435-3966

NPI assigned

Nov 20, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Karen M Tendering

Title

Clinic Administrator

Phone

(360) 435-2233

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Whitehorse Family Medicine Former legal business name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073687174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 WESLEY ST STE 250",
            "city": "ARLINGTON",
            "state": "WA",
            "postal_code": "982231668",
            "telephone_number": "360-435-2233",
            "fax_number": "360-435-3966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 WESLEY ST STE 250",
            "city": "ARLINGTON",
            "state": "WA",
            "postal_code": "982231668",
            "telephone_number": "360-435-2233",
            "fax_number": "360-435-3966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITEHORSE FAMILY MEDICINE, INC., P.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TENDERING",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CLINIC ADMINISTRATOR",
        "authorized_official_telephone_number": "360-435-2233"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7092679",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Whitehorse Family Medicine",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Heather L Whaley
• Genesis A Wheeler, LMHCA
• Zella Mia Wheeler, RDN, CD
• Vance Leigh Whippo, LMHC
• Jennifer White, L.M.P.
• Monroe Calvin Whitman III, M.D.
• Sarah Danea Wiebe, LMT
• Bruce E Wietharn, M.D.
• Wild Lotus Counseling, PLLC
• Stephen Jeffrey Wilkes

• Primary Care Clinic/Center in Arlington, WA
• Providers in Arlington, WA by specialty
• Primary Care Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.