Lynn Marie Wakeman

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

514 E Broadway Ave
Montesano, WA 98563-3815

Phone

(360) 591-9302

Fax

(360) 249-0030

NPI assigned

Jan 6, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Connections, a Center for Healthy Families

  • Community/Behavioral Health Agency
  • Montesano, WA
  • NPI 1568040996
  NPD (past) Authorized official
• Connections, a Center for Healthy Families

  • Community/Behavioral Health Agency
  • Montesano, WA
  • NPI 1942927728
  NPD (past)

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

{
    "created_epoch": "1452038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553644800000",
    "number": "1386000396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 E BROADWAY AVE",
            "city": "MONTESANO",
            "state": "WA",
            "postal_code": "985633815",
            "telephone_number": "360-591-9302",
            "fax_number": "360-249-0030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 E BROADWAY AVE",
            "city": "MONTESANO",
            "state": "WA",
            "postal_code": "985633815",
            "telephone_number": "360-591-9302",
            "fax_number": "360-249-0030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAKEMAN",
        "first_name": "LYNN",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-06",
        "last_updated": "2019-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valu Drug Inc.
• Valu-Drugs Inc
• Teresa Vansant
• Alicia Nicole Vargas-Ridout
• Sandra Vuk, PSY.D.
• Christine Yvonne Walters, SLPA
• Brittany Renee Weaver, MA61404816
• Kyna Weidman Wilson, D.C.
• Sean Rae White, M.D.
• Robert Vincent Wickes, O.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.

Verify at the official NPI Registry.