Individual provider Active NPI

Judith Lynn Wiebmer, RN00055019

  • Registered Nurse
  • Auburn, WA
National Provider Identifier
1851828867
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN00055019 Issued in WA
Practice address
901 Auburn Way N Ste a
Auburn, WA 98002-4100
Phone
(206) 477-4050
Fax
(206) 205-7375
NPI assigned
May 22, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN00055019 WA Primary

Addresses

Primary practice location

901 Auburn Way N Ste a
Auburn, WA 98002-4100

Mailing address

901 Auburn Way N Ste a
Auburn, WA 98002-4100
Phone (206) 477-4050

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

LicenseStateTypeSpecialty
RN00055019WAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1495411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1851828867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 AUBURN WAY N STE A",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980024100",
            "telephone_number": "206-477-4050",
            "fax_number": "206-205-7375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 AUBURN WAY N STE A",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980024100",
            "telephone_number": "206-477-4050",
            "fax_number": "206-205-7375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIEBMER",
        "first_name": "JUDITH",
        "middle_name": "LYNN",
        "credential": "RN00055019",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-22",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN00055019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.