Individual provider Active NPI

Nia Christine Wainwright, LMP

  • Specialist
  • Gig Harbor, WA
National Provider Identifier
1861565038
Registry record updated Dec 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MA00011219 Issued in WA
Practice address
3610 Grandview St Ste a
Gig Harbor, WA 98335-1135
Phone
(253) 853-1900
Fax
(253) 853-1808
NPI assigned
Nov 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MA00011219 WA Primary

Addresses

Primary practice location

3610 Grandview St Ste a
Gig Harbor, WA 98335-1135

Mailing address

3610 Grandview St Ste a
Gig Harbor, WA 98335-1135
Phone (253) 853-1900

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
MA00011219WAMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512691200000",
    "number": "1861565038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3610 GRANDVIEW ST STE A",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983351135",
            "telephone_number": "253-853-1900",
            "fax_number": "253-853-1808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3610 GRANDVIEW ST STE A",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983351135",
            "telephone_number": "253-853-1900",
            "fax_number": "253-853-1808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAINWRIGHT",
        "first_name": "NIA",
        "middle_name": "CHRISTINE",
        "name_prefix": "Mrs.",
        "credential": "LMP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-16",
        "last_updated": "2017-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "MA00011219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gig Harbor, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2017; 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.