Active NPI
Wendy Anne Piper, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Yakima, WA
National Provider Identifier
1851675649
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 22975
- Practice address
- 402 S 4TH Ave
Yakima, WA 98902-3546 - Phone
- (509) 575-4084
- NPI assigned
- Sep 28, 2011
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AP61090057 | WA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 22975 | CA | Primary |
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 22975 | CA |
Addresses
Primary practice location
402 S 4TH Ave
Yakima, WA 98902-3546
Mailing address
1178 Cambria CT
Camarillo, CA 93010-3503
Phone (805) 612-3175
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AP61090057 | Other | WA | ADVANCED REGISTERED NURSE PRACTITIONER LICENSE |
| 22975 | Other | CA | NURSE PRACTITIONER FURNISHER LICENSE |
| 664987 | Other | CA | RIGESTERED NURSE LICENSE |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Culver City Psychological Associates, Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Psychologist
- Culver City, CA
- NPI 1689684607
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689724800000",
"number": "1851675649",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1178 CAMBRIA CT",
"city": "CAMARILLO",
"state": "CA",
"postal_code": "930103503",
"telephone_number": "805-612-3175"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "402 S 4TH AVE",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989023546",
"telephone_number": "509-575-4084"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIPER",
"first_name": "WENDY",
"middle_name": "ANNE",
"credential": "PMHNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-09-28",
"last_updated": "2023-07-19",
"certification_date": "2023-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "WA",
"license": "AP61090057",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "CA",
"license": "22975",
"primary": true
},
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "CA",
"license": "22975",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ADVANCED REGISTERED NURSE PRACTITIONER LICENSE",
"identifier": "AP61090057",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NURSE PRACTITIONER FURNISHER LICENSE",
"identifier": "22975",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RIGESTERED NURSE LICENSE",
"identifier": "664987",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Yakima, WA
- Pinnacle Health Care PLLC
- Pinnacle Health Care, PLLC
- Blanca J Pinon, RPH
- Emily Baird Piper, DDS
- Kylie Cherie Piper, DNP
- Jennifer Sambrook Pitonyak, PHD, OTR/L, SCFES, C
- Amber Lee Pittmon, RN
- Planet Chiropractic Inc
- Planned Parenthood of Greater Washington & North Idaho
- Planned Parenthood of Greater Washington & North Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.