Waatu, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

1313 Issued in WA

Legal business name

WAATU, INC.

Doing business as

San Juan Rehabilitation and Care Center

Practice address

911 21St St
Anacortes, WA 98221-2513

Phone

(360) 293-7222

Fax

(360) 293-7281

NPI assigned

Feb 21, 2017

Organization subpart

No

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

Authorized official

Name

David Kiefer

Title

VP Cfo

Phone

(360) 293-3174

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• San Juan Rehabilitation and Care Center Doing business as

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

{
    "created_epoch": "1487635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487635200000",
    "number": "1740729987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 27TH ST",
            "city": "ANACORTES",
            "state": "WA",
            "postal_code": "982212710",
            "telephone_number": "360-293-3174",
            "fax_number": "360-293-4418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 21ST ST",
            "city": "ANACORTES",
            "state": "WA",
            "postal_code": "982212513",
            "telephone_number": "360-293-7222",
            "fax_number": "360-293-7281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAATU, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-21",
        "last_updated": "2017-02-21",
        "status": "A",
        "authorized_official_last_name": "KIEFER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "VP CFO",
        "authorized_official_telephone_number": "360-293-3174"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WA",
            "license": "1313",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4113130",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "San Juan Rehabilitation and Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Danae Vermulm, FNP-C
• Vivere Therapy
• Laura Ann Vogel, M.S. CCC-SLP
• Walter Vyhmeister, PH.D
• Waatu Inc.
• Julie K Waddell, PT
• Jane C Wagner, LMFT
• Jason Wagner
• Rachel Danielle Wagner, M.S., BCBA
• Donald E. Wakelin, MD

• Skilled Nursing Facility in Anacortes, WA
• Providers in Anacortes, WA by specialty
• Skilled Nursing Facility in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2017; 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.