Active NPI
Susan A Weber
- Family Medicine Physician
- Wenatchee, WA
National Provider Identifier
1316507825
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0014680
- Practice address
- 313 Chatham Hill Rd
Wenatchee, WA 98801-5931 - Phone
- (509) 679-4890
- NPI assigned
- Jun 17, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0014680 | WA | Primary |
Addresses
Primary practice location
313 Chatham Hill Rd
Wenatchee, WA 98801-5931
Mailing address
313 Chatham Hill Rd
Wenatchee, WA 98801-5931
Phone (509) 679-4890
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 |
|---|---|---|---|
| 0014680 | WA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560729600000",
"number": "1316507825",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "313 CHATHAM HILL RD",
"city": "WENATCHEE",
"state": "WA",
"postal_code": "988015931",
"telephone_number": "509-679-4890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "313 CHATHAM HILL RD",
"city": "WENATCHEE",
"state": "WA",
"postal_code": "988015931",
"telephone_number": "509-679-4890"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEBER",
"first_name": "SUSAN",
"middle_name": "A",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-06-17",
"last_updated": "2019-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "0014680",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wenatchee, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.