Active NPI
Kathleen A Weisenburger, MD
- Family Medicine Physician
- Bellingham, WA
National Provider Identifier
1326013285
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD60157877
- Practice address
- 709 W Orchard Dr Ste 4
Bellingham, WA 98225-1766 - Phone
- (360) 788-6958
- Fax
- (360) 733-5587
- NPI assigned
- Feb 22, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD60157877 | WA | |
| Family Medicine Physician | 207Q00000X | MD60157877 | WA | Primary |
Addresses
Primary practice location
709 W Orchard Dr Ste 4
Bellingham, WA 98225-1766
Mailing address
709 W Orchard Dr Ste 4
Bellingham, WA 98225-1766
Phone (360) 788-6958
Other practice location 1
1140 Cypress Station Dr
Houston, TX 77090-3002
Phone (281) 440-5300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 807102 | Other | TX | BCBS OF TEXAS |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0920 | TX | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1514419200000",
"number": "1326013285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "709 W ORCHARD DR STE 4",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "982251766",
"telephone_number": "360-788-6958",
"fax_number": "360-733-5587"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "709 W ORCHARD DR STE 4",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "982251766",
"telephone_number": "360-788-6958",
"fax_number": "360-733-5587"
}
],
"practiceLocations": [
{
"address_1": "1140 Cypress Station Dr",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770903002",
"country_code": "US",
"telephone_number": "281-440-5300",
"fax_number": "832-232-5591",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WEISENBURGER",
"first_name": "KATHLEEN",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-22",
"last_updated": "2017-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WA",
"license": "MD60157877",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "MD60157877",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF TEXAS",
"identifier": "807102",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bellingham, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.