NPIMap

Organization Active NPI

Whidbey Women'S Health

  • Specialist
  • Coupeville, WA
National Provider Identifier
1821180746
Registry record updated Apr 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD00027190 Issued in WA
Legal business name
WHIDBEY WOMEN'S HEALTH
Practice address
201 NE Birch St
Coupeville, WA 98239-1470
Phone
(360) 678-8308
Fax
(360) 678-5604
NPI assigned
Sep 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2008

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

Authorized official

Name
Dr. Mary Lucie Riederer, MDNPI 1093982563
Title
Owner/Physician
Phone
(360) 678-8308

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X MD00027190 WA Primary

Addresses

Primary practice location

201 NE Birch St
Coupeville, WA 98239-1470

Mailing address

201 Birch
PO Box 1470
Coupeville, WA 98239-1470
Phone (360) 678-8308

Other identifiers 2

IdentifierTypeStateIssuer
GAB06366OtherWAMEDICARE GROUP #
7093016MedicaidWA

Other names 1

  • M Lucie Riederer MD Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207267200000",
    "number": "1821180746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 BIRCH",
            "address_2": "PO BOX 1470",
            "city": "COUPEVILLE",
            "state": "WA",
            "postal_code": "982391470",
            "telephone_number": "360-678-8308",
            "fax_number": "360-678-5604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 NE BIRCH ST",
            "city": "COUPEVILLE",
            "state": "WA",
            "postal_code": "982391470",
            "telephone_number": "360-678-8308",
            "fax_number": "360-678-5604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHIDBEY WOMEN'S HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2008-04-04",
        "status": "A",
        "authorized_official_last_name": "RIEDERER",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "LUCIE",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "360-678-8308",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "WA",
            "license": "MD00027190",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP #",
            "identifier": "GAB06366",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7093016",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "M Lucie Riederer MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Coupeville, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2008; 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.