Individual provider Active NPI

Anne Theresa Weech, LMP

  • Specialist
  • Marysville, WA
National Provider Identifier
1962629931
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MA00017284 Issued in WA
Practice address
7629 47TH Ave NE
C6
Marysville, WA 98270-3707
Phone
(360) 653-6010
Fax
(360) 653-6008
NPI assigned
Apr 19, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MA00017284 WA Primary

Addresses

Primary practice location

7629 47TH Ave NE
C6
Marysville, WA 98270-3707

Mailing address

7629 47TH Ave NE
C6
Marysville, WA 98270-3707
Phone (360) 653-6010

Other identifiers 1

IdentifierTypeStateIssuer
MA00017284OtherWALMP

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
MA00017284WAMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962629931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7629 47TH AVE NE",
            "address_2": "C6",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982703707",
            "telephone_number": "360-653-6010",
            "fax_number": "360-653-6008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7629 47TH AVE NE",
            "address_2": "C6",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982703707",
            "telephone_number": "360-653-6010",
            "fax_number": "360-653-6008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEECH",
        "first_name": "ANNE",
        "middle_name": "THERESA",
        "credential": "LMP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "MA00017284",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LMP",
            "identifier": "MA00017284",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marysville, WA

Sources for this page

  • 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.