Active NPI
Richard Vanwinkle
- Contractor
- Blaine, WA
National Provider Identifier
1235598020
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- 602302521
- Practice address
- 8704 Blaine Rd
Blaine, WA 98230-9715 - Phone
- (360) 332-9974
- NPI assigned
- Feb 22, 2016
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Contractor | 171W00000X | 602302521 | WA | Primary |
Addresses
Primary practice location
8704 Blaine Rd
Blaine, WA 98230-9715
Mailing address
PO Box 5413
Bellingham, WA 98227-5413
Phone (360) 332-9974
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 |
|---|---|---|---|
| 602302521 | WA | MD | Contractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1456099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456099200000",
"number": "1235598020",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5413",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "982275413",
"telephone_number": "360-332-9974"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8704 BLAINE RD",
"city": "BLAINE",
"state": "WA",
"postal_code": "982309715",
"telephone_number": "360-332-9974"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANWINKLE",
"first_name": "RICHARD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-02-22",
"last_updated": "2016-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "WA",
"license": "602302521",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Blaine, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.