Nancy Wisti, MA

Primary specialty

CounselorTaxonomy code 101Y00000X

License

LH00006491 Issued in WA

Practice address

3136 E Madison St
Suite 100
Seattle, WA 98112-4267

Phone

(206) 324-9378

Fax

(206) 329-3580

NPI assigned

May 31, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366643793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3136 E MADISON ST",
            "address_2": "SUITE 100",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981124267",
            "telephone_number": "206-324-9378",
            "fax_number": "206-329-3580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3136 E MADISON ST",
            "address_2": "SUITE 100",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981124267",
            "telephone_number": "206-324-9378",
            "fax_number": "206-329-3580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISTI",
        "first_name": "NANCY",
        "name_prefix": "Ms.",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WA",
            "license": "LH00006491",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "911521985",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bethany Lee Wisotzkey, M.D.
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• Kyann R Wisse, PHARMD
• Erik Wissner, M.D.
• Lawrence Wissow, M.D.
• Miroslawa Witalis, N.D.
• Elise Witek, MA LMHCA
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• Kerry Lauren Witherell, AU.D
• Marie Witherell, RN IBCLC ICCE

• Counselor in Seattle, WA
• Providers in Seattle, WA by specialty
• Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.