Joan Wedryk, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

201043557RN Issued in OR

Practice address

4808 NE 141St Ave
Vancouver, WA 98682-6361

Phone

(360) 798-7114

Fax

(360) 882-8294

NPI assigned

Jul 22, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1437523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437523200000",
    "number": "1659756351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4808 NE 141ST AVE",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986826361",
            "telephone_number": "360-798-7114",
            "fax_number": "360-882-8294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4808 NE 141ST AVE",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986826361",
            "telephone_number": "360-798-7114",
            "fax_number": "360-882-8294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEDRYK",
        "first_name": "JOAN",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-22",
        "last_updated": "2015-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OR",
            "license": "201043557RN",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN60215930",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura M Webster, M.D.
• Nicole Elizabeth Webster
• Melissa C Weddle, MD MPH
• Bonnie Jane Wedeking, LCSW
• Katherine Patricia Wedemeyer, DPT
• Sydney Weetman
• Donna J Wehrley, OTR
• Anthony Shen-Yuan Wei, MD
• Julia Wei, PHARM. D.
• Patrice Weible

• Registered Nurse in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Registered Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2015; 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.