Individual provider Active NPI

Marjorie Lynn Witman, MN, ARNP

  • Family Nurse Practitioner
  • Seattle, WA
National Provider Identifier
1386728608
Registry record updated Mar 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP30004040 Issued in WA
Practice address
1519 Alaskan Way S
Seattle, WA 98134-1102
Phone
(206) 217-6432
Fax
(206) 217-6636
NPI assigned
Oct 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN00065763 WA
Family Nurse Practitioner 363LF0000X AP30004040 WA Primary

Addresses

Primary practice location

1519 Alaskan Way S
Seattle, WA 98134-1102

Mailing address

1519 Alaskan Way S
Seattle, WA 98134-1102
Phone (206) 217-6432

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

State licenses

LicenseStateTypeSpecialty
RN00065763WAMDRegistered Nurse
1483AKMDPharmacist
AP30004040WAMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331164800000",
    "number": "1386728608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1519 ALASKAN WAY S",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981341102",
            "telephone_number": "206-217-6432",
            "fax_number": "206-217-6636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1519 ALASKAN WAY S",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981341102",
            "telephone_number": "206-217-6432",
            "fax_number": "206-217-6636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITMAN",
        "first_name": "MARJORIE",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "MN, ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-24",
        "last_updated": "2012-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN00065763",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP30004040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2012; 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.