Active NPI
Cary Ann Weddle, D.C.
- Chiropractor
- Longview, WA
National Provider Identifier
1174577233
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH00034320
- Practice address
- 1329 Broadway St
Ste 200
Longview, WA 98632-3747 - Phone
- (360) 957-4929
- Fax
- (360) 578-2930
- NPI assigned
- May 20, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH00034320 | WA | Primary |
| Chiropractor | 111N00000X | 273037 | OR |
Addresses
Primary practice location
1329 Broadway St
Ste 200
Longview, WA 98632-3747
Mailing address
PO Box 97
Rainier, OR 97048-0097
Phone (360) 957-4929
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0052630 | Other | WA | WORKERS COMPENSATION |
| 2029775 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050906000265 | WA | Practitioner - Chiropractic | 2567494115 | Practice locations: Kelso, WA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Western States College of Chiropractic, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
208 Church St
Kelso, WA 98626-3409
Phone (360) 957-4929
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 273037 | OR | MD | Chiropractor |
| CH00034320 | WA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1174577233",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 97",
"city": "RAINIER",
"state": "OR",
"postal_code": "970480097",
"telephone_number": "360-957-4929"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1329 BROADWAY ST",
"address_2": "STE 200",
"city": "LONGVIEW",
"state": "WA",
"postal_code": "986323747",
"telephone_number": "360-957-4929",
"fax_number": "360-578-2930"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEDDLE",
"first_name": "CARY",
"middle_name": "ANN",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-20",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "CH00034320",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OR",
"license": "273037",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WORKERS COMPENSATION",
"identifier": "0052630",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2029775",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Longview, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.