Active NPI
Presley Whetman
- Critical Care Pharmacist
- Seattle, WA
National Provider Identifier
1770376402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Pharmacist
- License
- PH61446001
- Practice address
- 747 Broadway
Seattle, WA 98122-4379 - Phone
- (206) 386-6000
- NPI assigned
- May 26, 2025
- Sex
- Unspecified or another gender identity
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Pharmacist | 1835C0205X | PH61446001 | WA | Primary |
| Critical Care Pharmacist | 1835C0205X | 10488114-1701 | UT |
Addresses
Primary practice location
747 Broadway
Seattle, WA 98122-4379
Mailing address
7120 Woodlawn Ave NE Apt 310
Seattle, WA 98115-1433
Phone (801) 865-0079
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10488114-1701 | UT | MD | Critical Care Pharmacist |
| PH61446001 | WA | MD | Critical Care Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1748217600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748217600000",
"number": "1770376402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7120 WOODLAWN AVE NE APT 310",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981151433",
"telephone_number": "801-865-0079"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "747 BROADWAY",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981224379",
"telephone_number": "206-386-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHETMAN",
"first_name": "PRESLEY",
"sole_proprietor": "YES",
"sex": "X",
"enumeration_date": "2025-05-26",
"last_updated": "2025-05-26",
"certification_date": "2025-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "1835C0205X",
"taxonomy_group": "",
"desc": "Pharmacist, Critical Care",
"state": "WA",
"license": "PH61446001",
"primary": true
},
{
"code": "1835C0205X",
"taxonomy_group": "",
"desc": "Pharmacist, Critical Care",
"state": "UT",
"license": "10488114-1701",
"primary": false
}
],
"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 May 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.