Active NPI
Samantha Wetherbee
- Student in an Organized Health Care Education/Training Program
- Lakewood, WA
National Provider Identifier
1104224492
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- WA 60519852
- Practice address
- 9227 N Lake Dr SW Apt 2
Lakewood, WA 98498-7302 - Phone
- (253) 375-2054
- NPI assigned
- Dec 18, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | WA 60519852 | WA | Primary |
Addresses
Primary practice location
9227 N Lake Dr SW Apt 2
Lakewood, WA 98498-7302
Mailing address
9227 N Lake Dr SW Apt 2
Lakewood, WA 98498-7302
Phone (253) 375-2054
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| WA 60519852 | WA | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1418860800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1418860800000",
"number": "1104224492",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9227 N LAKE DR SW APT 2",
"city": "LAKEWOOD",
"state": "WA",
"postal_code": "984987302",
"telephone_number": "253-375-2054"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9227 N LAKE DR SW APT 2",
"city": "LAKEWOOD",
"state": "WA",
"postal_code": "984987302",
"telephone_number": "253-375-2054"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WETHERBEE",
"first_name": "SAMANTHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-12-18",
"last_updated": "2014-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "WA",
"license": "WA 60519852",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lakewood, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.