Patricia Roth Wuertzer, A.R.N.P.

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

AP30002345 Issued in WA

Practice address

11411 NE 124TH St Ste 190
Kirkland, WA 98034-4318

Phone

(425) 821-3696

Fax

(425) 823-8235

NPI assigned

Nov 15, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Kelly Knickerbocker Arnp PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Mountlake Terrace, WA
  • NPI 1710599758

  Psychiatric/Mental Health

  NPD (past)

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194898528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11411 NE 124TH ST STE 190",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980344318",
            "telephone_number": "425-821-3696",
            "fax_number": "425-823-8235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11411 NE 124TH ST STE 190",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980344318",
            "telephone_number": "425-821-3696",
            "fax_number": "425-823-8235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WUERTZER",
        "first_name": "PATRICIA",
        "middle_name": "ROTH",
        "name_prefix": "Ms.",
        "credential": "A.R.N.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP30002345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Wright, LMP
• Vernon Wright
• Chao-Ching Wu, M.D.
• Hailun Wu, DMD
• Joyce Wu, MD
• Devin Wulff, DPT
• Lauren Wurth
• Qiang Xiao, LMP
• Sharon Xie, PHD
• Amir Yacoub

• All providers in Kirkland, WA
• Psychiatric/Mental Health Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.