Active NPI
Paula Ja Wrentmore, DC
- Chiropractor
- Kirkland, WA
National Provider Identifier
1346769577
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 60605484
- Practice address
- 634 7TH Ave
Kirkland, WA 98033-5665 - Phone
- (425) 365-7964
- NPI assigned
- Sep 19, 2017
- Last updated
- Sep 19, 2017
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 60605484 | WA | Primary |
Addresses
Primary practice location
634 7TH Ave
Kirkland, WA 98033-5665
Mailing address
602 216TH St SW
Bothell, WA 98021-8104
Phone (425) 365-7964
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 |
|---|---|---|---|
| 60605484 | WA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1505779200000",
"number": "1346769577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "602 216TH ST SW",
"city": "BOTHELL",
"state": "WA",
"postal_code": "980218104",
"telephone_number": "425-365-7964"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "634 7TH AVE",
"city": "KIRKLAND",
"state": "WA",
"postal_code": "980335665",
"telephone_number": "425-365-7964"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WRENTMORE",
"first_name": "PAULA",
"middle_name": "JA",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-09-19",
"last_updated": "2017-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "60605484",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kirkland, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.