NPIMap

Individual provider Active NPI

Liette C Witherrite, MD

  • Family Medicine Physician
  • White Salmon, WA
National Provider Identifier
1265490064
Registry record updated Jul 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD00046452 Issued in WA
Practice address
212 NE Skyline Dr
White Salmon, WA 98672-1948
Phone
(509) 493-2133
Fax
(509) 493-9538
NPI assigned
May 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD00046452 WA Primary

Addresses

Primary practice location

212 NE Skyline Dr
White Salmon, WA 98672-1948

Mailing address

PO Box 1519
White Salmon, WA 98672-1519
Phone (509) 493-2133

Other identifiers 1

IdentifierTypeStateIssuer
938227MedicaidAZ

Other names 1

  • Liette C Powell Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, OR2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20060717000061 WA Practitioner - Family Practice 3870538275 Reassigns benefits to 1 organization
I20231107003720 OR Practitioner - Family Practice 3870538275 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
One Community HealthGroup PAC ID 6305759283, shared by 7 NPIs, 51 clinicians

Practice addresses (Care Compare)

65371 Hwy 14
White Salmon, WA 98672-8690
Phone (509) 493-2133

849 Pacific Ave
Hood River, OR 97031-1956
Phone (541) 386-6380

Hospital & facility affiliations

  • Providence Home Health Home health agency, Portland, OR, CCN 387048
  • Skyline Hospital Hospital, White Salmon, WA, CCN 501315
  • Providence Hood River Memorial Hospital Hospital, Hood River, OR, CCN 381318
  • Mid-Columbia Medical Center Hospital, The Dalles, OR, CCN 380001
  • Peacehealth Southwest Medical Cente Hospital, Vancouver, WA, CCN 500050

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD00046452WAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
One Community Health CurrentSince Feb 5, 2024 Accepting new patients
One Community Health CurrentSince Nov 1, 2023 Accepting new patients
One Community Health CurrentSince Nov 1, 2023 Accepting new patients
One Community Health Current Accepting new patients

Locations

849 Pacific Ave
Hood River, OR 97031
Phone (541) 386-6380

875 SW Rock Creek Dr
Stevenson, WA 98648
Phone (509) 427-4212

Organizations & group practices 4

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406073600000",
    "number": "1265490064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1519",
            "city": "WHITE SALMON",
            "state": "WA",
            "postal_code": "986721519",
            "telephone_number": "509-493-2133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 NE SKYLINE DR",
            "city": "WHITE SALMON",
            "state": "WA",
            "postal_code": "986721948",
            "telephone_number": "509-493-2133",
            "fax_number": "509-493-9538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITHERRITE",
        "first_name": "LIETTE",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-02",
        "last_updated": "2014-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00046452",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "938227",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LIETTE",
            "last_name": "POWELL",
            "middle_name": "C",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in White Salmon, WA

Sources for this page

Verify at the official NPI Registry.