Individual provider Active NPI

Vanessa L. Weiland, RN, APRN

  • Adult Health Nurse Practitioner
  • North Bend, WA
National Provider Identifier
1235566290
Registry record updated Jul 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
60424953 Issued in WA
Practice address
201 W North Bend Way Ste 200
North Bend, WA 98045-8169
Phone
(425) 835-2726
Fax
(206) 385-3928
NPI assigned
Oct 4, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 60424953 WA Primary
Registered Nurse 163W00000X 60424951 WA

Addresses

Primary practice location

201 W North Bend Way Ste 200
North Bend, WA 98045-8169

Mailing address

201 W North Bend Way Ste 200
North Bend, WA 98045-8169
Phone (425) 835-2726

Other practice location 1

18528 Firlands Way N Ste A
Shoreline, WA 98133-3985
Phone (425) 835-2726

Other identifiers 1

IdentifierTypeStateIssuer
1386626281MedicaidWA

Other names 1

  • Vanessa L Richards Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Oct 1, 2026 through Oct 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
60424951WAMDRegistered Nurse
60424953WAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Phases Clinic, PLLC Adult Health CurrentSince Jul 7, 2024 Accepting new patients
Inez Kathleen Ray-Annis, MSW, P.S., Inc. PastSince Sep 1, 2018 Accepting new patients

Locations

201 W North Bend Way
Ste 200
North Bend, WA 98045
Phone (425) 502-5457

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1380844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784246400000",
    "number": "1235566290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 W NORTH BEND WAY STE 200",
            "city": "NORTH BEND",
            "state": "WA",
            "postal_code": "980458169",
            "telephone_number": "425-835-2726",
            "fax_number": "206-385-3928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 W NORTH BEND WAY STE 200",
            "city": "NORTH BEND",
            "state": "WA",
            "postal_code": "980458169",
            "telephone_number": "425-835-2726",
            "fax_number": "206-385-3928"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18528 Firlands Way N Ste A",
            "address_purpose": "LOCATION",
            "city": "Shoreline",
            "state": "WA",
            "postal_code": "981333985",
            "country_code": "US",
            "telephone_number": "425-835-2726",
            "fax_number": "206-385-3928",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEILAND",
        "first_name": "VANESSA",
        "middle_name": "L.",
        "credential": "RN, APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-04",
        "last_updated": "2026-07-17",
        "certification_date": "2026-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "WA",
            "license": "60424953",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "60424951",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1386626281",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VANESSA",
            "last_name": "RICHARDS",
            "middle_name": "L",
            "credential": "RN, APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in North Bend, WA

Sources for this page

Verify at the official NPI Registry.