Active NPI
Patricia Ann Weber, M.D.
- Pediatrics Physician
- Shoreline, WA
National Provider Identifier
1780709055
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 22028
- Practice address
- 15230 15TH Ave NE
Shoreline, WA 98155-7130 - Phone
- (206) 361-3578
- Fax
- (206) 361-5246
- NPI assigned
- Mar 19, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 22028 | WA | Primary |
Addresses
Primary practice location
15230 15TH Ave NE
Shoreline, WA 98155-7130
Mailing address
15230 15TH Ave NE
Shoreline, WA 98155-7130
Phone (206) 361-3578
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1318302 | Medicaid | WA |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150119000197 | WA | Order and Referring Only - Pediatric Medicine | 4587846761 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22028 | WA | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1780709055",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15230 15TH AVE NE",
"city": "SHORELINE",
"state": "WA",
"postal_code": "981557130",
"telephone_number": "206-361-3578",
"fax_number": "206-361-5246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15230 15TH AVE NE",
"city": "SHORELINE",
"state": "WA",
"postal_code": "981557130",
"telephone_number": "206-361-3578",
"fax_number": "206-361-5246"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEBER",
"first_name": "PATRICIA",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "WA",
"license": "22028",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1318302",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Shoreline, WA
- Washington State Department of Health
- Washington State Department of Health
- Washington State Department of Social and Health Services
- Waterfront Sports and Physical Therapy
- Sara Louise Waters, LICSW, CMHS
- Grace Weigel, M.A
- Belaynesh Weldearegay, LMHC
- Haley Wens
- Victoria Lynn Wentz, ATC
- David Wayne Werner
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.