Waatu Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

4113718 Issued in WA

Legal business name

WAATU INC.

Doing business as

Fidalgo Care Center

Practice address

1105 27TH St
Anacortes, WA 98221-2710

Phone

(360) 293-3174

Fax

(360) 293-4418

NPI assigned

Aug 11, 2006

Organization subpart

No

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

Authorized official

Name

James K Roe

Title

President

Phone

(360) 293-7222

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Fidalgo Care Center Doing business as

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415318400000",
    "number": "1508877895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 21ST ST",
            "city": "ANACORTES",
            "state": "WA",
            "postal_code": "982212513",
            "telephone_number": "360-293-7222",
            "fax_number": "360-293-7281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 27TH ST",
            "city": "ANACORTES",
            "state": "WA",
            "postal_code": "982212710",
            "telephone_number": "360-293-3174",
            "fax_number": "360-293-4418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAATU INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-11",
        "last_updated": "2014-11-07",
        "status": "A",
        "authorized_official_last_name": "ROE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-293-7222"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WA",
            "license": "4113718",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4113718",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fidalgo Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Camie Jo Velin, MA, MFT
• Danae Vermulm, FNP-C
• Vivere Therapy
• Laura Ann Vogel, M.S. CCC-SLP
• Walter Vyhmeister, PH.D
• Waatu, Inc.
• Julie K Waddell, PT
• Jane C Wagner, LMFT
• Jason Wagner
• Rachel Danielle Wagner, M.S., BCBA

• Skilled Nursing Facility in Anacortes, WA
• Providers in Anacortes, WA by specialty
• Skilled Nursing Facility in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.

Verify at the official NPI Registry.