Individual provider Active NPI

Wendy Roff, LPN

  • Licensed Vocational Nurse
  • Sedro Woolley, WA
National Provider Identifier
1134037054
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Vocational NurseTaxonomy code 164X00000X
License
LPN.LP.61092631 Issued in WA
Practice address
1420 State Route 20
Sedro Woolley, WA 98284-4322
Phone
(360) 854-7400
NPI assigned
Aug 31, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational Nurse 164X00000X LPN.LP.61092631 WA Primary

Addresses

Primary practice location

1420 State Route 20
Sedro Woolley, WA 98284-4322

Mailing address

46433 E Main St
Concrete, WA 98237-9437
Phone (360) 854-7400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1788134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788134400000",
    "number": "1134037054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46433 E MAIN ST",
            "city": "CONCRETE",
            "state": "WA",
            "postal_code": "982379437",
            "telephone_number": "360-854-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 STATE ROUTE 20",
            "city": "SEDRO WOOLLEY",
            "state": "WA",
            "postal_code": "982844322",
            "telephone_number": "360-854-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROFF",
        "first_name": "WENDY",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-08-31",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "WA",
            "license": "LPN.LP.61092631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sedro Woolley, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.