Organization Active NPI

Weightmed PLLC

  • Family Medicine Physician
  • Oak Harbor, WA
National Provider Identifier
1083575203
Registry record updated Nov 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
WEIGHTMED PLLC
Practice address
658 SE Bayshore Dr
Oak Harbor, WA 98277-5700
Phone
(360) 800-9820
Fax
(360) 800-9700
NPI assigned
Nov 18, 2025
Last updated
Nov 18, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2025

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

Authorized official

Name
Kristine Holiday, PA-CNPI 1639687502
Title
Ceo
Phone
(360) 800-9820

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

658 SE Bayshore Dr
Oak Harbor, WA 98277-5700

Mailing address

658 SE Bayshore Dr
Oak Harbor, WA 98277-5700
Phone (360) 800-9820

National Provider Directory

National Provider Directory

Locations

658 SE Bayshore Dr
Oak Harbor, WA 98277
Phone (360) 544-2466

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1763424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763424000000",
    "number": "1083575203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "658 SE BAYSHORE DR",
            "city": "OAK HARBOR",
            "state": "WA",
            "postal_code": "982775700",
            "telephone_number": "360-800-9820",
            "fax_number": "360-800-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "658 SE BAYSHORE DR",
            "city": "OAK HARBOR",
            "state": "WA",
            "postal_code": "982775700",
            "telephone_number": "360-800-9820",
            "fax_number": "360-800-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEIGHTMED PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-18",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A",
        "authorized_official_last_name": "HOLIDAY",
        "authorized_official_first_name": "KRISTINE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "360-800-9820",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Harbor, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2025; 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.