Gretchen Paige Wix, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA10004652 Issued in WA

Practice address

800 Logan Ave N
Building 4-04, Medical
Renton, WA 98055-2080

Phone

(425) 237-1333

NPI assigned

Jul 10, 2006

Last updated

Oct 2, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222905600000",
    "number": "1255365219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3707",
            "address_2": "MC 61-40",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981242447",
            "telephone_number": "425-237-3600",
            "fax_number": "425-965-3752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 LOGAN AVE N",
            "address_2": "BUILDING 4-04, MEDICAL",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980552080",
            "telephone_number": "425-237-1333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIX",
        "first_name": "GRETCHEN",
        "middle_name": "PAIGE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2008-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WA",
            "license": "PA10004652",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4303397",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8390924",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "N/A",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "806970500",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lola Mudgistratova Wise, MD
• Morgan Wise, PHYSICAL THERAPIST
• Linda E Wiseman, MD
• Cosette Francesca Witchell, CBT
• Jennifer Allison Witt
• Stephanie Wnuk Sr., CPHT
• Katya Wojcik, MA.ED, LMHC, MHP
• Felegehiwot Atkilt Woldetsadik, REGISTERED NURSE
• Rebecca Lee Wolff, LMHCA
• Kathleen Wolsey, FNP-BC

• Medical Physician Assistant in Renton, WA
• Providers in Renton, WA by specialty
• Medical Physician Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2008; 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.