Individual provider Active NPI

Wendy Jo Thorn, DNP ARNP FNP-C

  • Nurse Practitioner
  • Gig Harbor, WA
National Provider Identifier
1437794286
Registry record updated Jan 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
61188657 Issued in WA
Practice address
17526 State Route 302 NW
Gig Harbor, WA 98329-5672
Phone
(253) 392-5541
NPI assigned
Nov 14, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2025

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 60269534 WA
Nurse Practitioner 363L00000X 61188657 WA Primary

Addresses

Primary practice location

17526 State Route 302 NW
Gig Harbor, WA 98329-5672

Mailing address

17526 State Route 302 NW
Gig Harbor, WA 98329-5672
Phone (253) 392-5541

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240808001724 WA Order and Referring Only - Nurse Practitioner 6305383308

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
60269534WAMDRegistered Nurse
61188657WAMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1573689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736208000000",
    "number": "1437794286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17526 STATE ROUTE 302 NW",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983295672",
            "telephone_number": "253-392-5541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17526 STATE ROUTE 302 NW",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983295672",
            "telephone_number": "253-392-5541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THORN",
        "first_name": "WENDY",
        "middle_name": "JO",
        "name_prefix": "Dr.",
        "credential": "DNP ARNP FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-14",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "60269534",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "61188657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gig Harbor, WA

Sources for this page

Verify at the official NPI Registry.