Active NPI
Lynne Marie Wiegert, ARNP
- Gerontology Nurse Practitioner
- Seattle, WA
National Provider Identifier
1710218862
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- AP60132222
- Practice address
- 1514 Nob Hill Ave N
Seattle, WA 98109-3141 - Phone
- (206) 920-5583
- NPI assigned
- Jan 28, 2010
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | AP60132222 | WA | Primary |
Addresses
Primary practice location
1514 Nob Hill Ave N
Seattle, WA 98109-3141
Mailing address
1514 Nob Hill Ave N
Seattle, WA 98109-3141
Phone (206) 599-6311
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
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1264636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315612800000",
"number": "1710218862",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1514 NOB HILL AVE N",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981093141",
"telephone_number": "206-599-6311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1514 NOB HILL AVE N",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981093141",
"telephone_number": "206-920-5583"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIEGERT",
"first_name": "LYNNE",
"middle_name": "MARIE",
"credential": "ARNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-01-28",
"last_updated": "2011-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "WA",
"license": "AP60132222",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.