Dennine L Wakefield, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LP00027341 Issued in WA

Practice address

17 Rustemeyer Rd TRLR 17
Aberdeen, WA 98520-9522

Phone

(360) 591-9944

NPI assigned

Apr 24, 2024

Last updated

Apr 24, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1713916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713916800000",
    "number": "1629824412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 RUSTEMEYER RD TRLR 17",
            "city": "ABERDEEN",
            "state": "WA",
            "postal_code": "985209522",
            "telephone_number": "360-591-9944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 RUSTEMEYER RD TRLR 17",
            "city": "ABERDEEN",
            "state": "WA",
            "postal_code": "985209522",
            "telephone_number": "360-591-9944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAKEFIELD",
        "first_name": "DENNINE",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-24",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "WA",
            "license": "LP00027341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashwin Venkataraman, MD
• Jessica Darlene Verboomen
• Jessica Marie Vessey
• Bryana K Vice, MOTR/L
• Rasine Amber Vidmore, AAC
• Wal-Mart Stores, Inc. (Vision Center 30-2037)
• Walmart Inc. (Walmart Pharmacy 10-2037)
• Elizabeth Walsh, DPT
• Walton & Walton Counseling Inc, PS
• Sally Diane Walton, LCMHP

• Licensed Practical Nurse in Aberdeen, WA
• Providers in Aberdeen, WA by specialty
• Licensed Practical Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2024; 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.