Trena Rae Wark

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

License

RC00053177 Issued in WA

Practice address

135 W Main St
Chehalis, WA 98532-4817

Phone

(360) 748-6696

NPI assigned

Jan 5, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902953342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "814 SW 19TH ST",
            "city": "CHEHALIS",
            "state": "WA",
            "postal_code": "985324010",
            "telephone_number": "360-748-4317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 W MAIN ST",
            "city": "CHEHALIS",
            "state": "WA",
            "postal_code": "985324817",
            "telephone_number": "360-748-6696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARK",
        "first_name": "TRENA",
        "middle_name": "RAE",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "WA",
            "license": "RC00053177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walmart
• Walmart Inc. (Walmart Pharmacy 10-2249)
• Bruce Walton, M.A.,WA LICENSED
• Ontario O'Shawn Ward, DDS
• Alyssa Dawn Ware, DPT
• Gary Warner
• Washington CVS Pharmacy LLC (CVS Pharmacy #11655)
• Rose A Waterfield
• Kalea Rose Wattles, ND
• Sara Jacqueline Webb, CERTIFICATE: LMP

• Case Management Agency in Chehalis, WA
• Providers in Chehalis, WA by specialty
• Case Management Agency in Washington

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.