Individual provider Active NPI

Melissa Weakland, MD

  • Family Medicine Physician
  • Seattle, WA
National Provider Identifier
1649245713
Registry record updated Jan 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
44393 Issued in WA
Practice address
5416 Barnes Ave NW
Seattle, WA 98107-3839
Phone
(206) 297-7678
NPI assigned
Feb 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 44393 WA Primary

Addresses

Primary practice location

5416 Barnes Ave NW
Seattle, WA 98107-3839

Mailing address

640 13TH Way SW
Edmonds, WA 98020-4626
Phone (425) 774-5434

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050324000536 WA Practitioner - Family Practice 4082687165

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Washington School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Port Gamble S'Klallam TribeGroup PAC ID 6204737927, shared by 2 NPIs, 11 clinicians

Practice addresses (Care Compare)

32020 Little Boston Rd NE
Kingston, WA 98346-9734
Phone (360) 297-9649

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
44393WAMDFamily Medicine Physician

Interoperability endpoints

  • Direct secure messaging: melissa.weakland.p1@direct.pgsklallamtribe.nextgenshare.com

NPI Registry JSON

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

{
    "created_epoch": "1140480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358208000000",
    "number": "1649245713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 13TH WAY SW",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980204626",
            "telephone_number": "425-774-5434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5416 BARNES AVE NW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981073839",
            "telephone_number": "206-297-7678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEAKLAND",
        "first_name": "MELISSA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-21",
        "last_updated": "2013-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "44393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.