Active NPI
Jon Wheat
- Psychiatric/Mental Health Registered Nurse
- Kirkland, WA
National Provider Identifier
1518310473
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Registered Nurse
- License
- 61115613
- Practice address
- 11410 NE 122ND Way Ste 100
Kirkland, WA 98034-6927 - Phone
- (425) 650-4005
- NPI assigned
- Jul 15, 2016
- Last updated
- Nov 11, 2025
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 61115613 | WA | Primary |
Addresses
Primary practice location
11410 NE 122ND Way Ste 100
Kirkland, WA 98034-6927
Mailing address
5508 Crescent Beach Rd NW
Vaughn, WA 98394-9606
Phone (602) 980-4719
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
| License | State | Type | Specialty |
|---|---|---|---|
| 61115613 | WA | MD | Psychiatric/Mental Health Registered Nurse |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468540800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762819200000",
"number": "1518310473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5508 CRESCENT BEACH RD NW",
"city": "VAUGHN",
"state": "WA",
"postal_code": "983949606",
"telephone_number": "602-980-4719"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11410 NE 122ND WAY STE 100",
"city": "KIRKLAND",
"state": "WA",
"postal_code": "980346927",
"telephone_number": "425-650-4005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHEAT",
"first_name": "JON",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-07-15",
"last_updated": "2025-11-11",
"certification_date": "2025-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "WA",
"license": "61115613",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kirkland, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.