Active NPI
Alberta F Witcher, PAC
- Physician Assistant
- Bainbridge Island, WA
National Provider Identifier
1386790384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA10000616
- Practice address
- 380 Winslow Way E
Bainbridge Island, WA 98110-2424 - Phone
- (206) 842-5631
- NPI assigned
- Jan 25, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA10000616 | WA | Primary |
Addresses
Primary practice location
380 Winslow Way E
Bainbridge Island, WA 98110-2424
Mailing address
1100 Olive Way MSC M4-PA
Seattle, WA 98101-1873
Phone (206) 515-5811
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| US2252350 | Other | WA | US SPECIALIST PIN |
| WI8508 | Other | WA | BLUE SHIELD # |
| 0039581 | Other | WA | LABOR AND INDUSTRIES # |
| 970020486 | Other | WA | RAILROAD MEDICARE |
| US0818501 | Other | WA | AETNA PCP PIN |
| 8329252 | Medicaid | WA |
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
- Physician Assistant
Interoperability endpoints
- laurie.witcher@direct.vmmc.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294099200000",
"number": "1386790384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 OLIVE WAY MSC M4-PA",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981011873",
"telephone_number": "206-515-5811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "380 WINSLOW WAY E",
"city": "BAINBRIDGE ISLAND",
"state": "WA",
"postal_code": "981102424",
"telephone_number": "206-842-5631"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WITCHER",
"first_name": "ALBERTA",
"middle_name": "F",
"credential": "PAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-25",
"last_updated": "2011-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WA",
"license": "PA10000616",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "US SPECIALIST PIN",
"identifier": "US2252350",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD #",
"identifier": "WI8508",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABOR AND INDUSTRIES #",
"identifier": "0039581",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "970020486",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PCP PIN",
"identifier": "US0818501",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8329252",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bainbridge Island, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.