Active NPI
Antoinette T Wright, LMP
- Specialist
- Federal Way, WA
National Provider Identifier
1508044033
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MA00024495
- Practice address
- 204 S 348TH St
Ste 3
Federal Way, WA 98003-7041 - Phone
- (253) 797-4567
- NPI assigned
- Feb 6, 2008
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | MA00024495 | WA | Primary |
Addresses
Primary practice location
204 S 348TH St
Ste 3
Federal Way, WA 98003-7041
Mailing address
36915 5TH Ave SW
Federal Way, WA 98023-7346
Phone (253) 797-4567
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA00024495 | WA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| You'Re Wellness LLC | Specialist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Specialist
- Federal Way, WA
- NPI 1831595156
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1417737600000",
"number": "1508044033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36915 5TH AVE SW",
"city": "FEDERAL WAY",
"state": "WA",
"postal_code": "980237346",
"telephone_number": "253-797-4567"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "204 S 348TH ST",
"address_2": "STE 3",
"city": "FEDERAL WAY",
"state": "WA",
"postal_code": "980037041",
"telephone_number": "253-797-4567"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WRIGHT",
"first_name": "ANTOINETTE",
"middle_name": "T",
"credential": "LMP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-06",
"last_updated": "2014-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "WA",
"license": "MA00024495",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Federal Way, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.