Individual provider Active NPI

Verna R Wetmore, RD, CD, LD

  • Registered Dietitian
  • Spokane, WA
National Provider Identifier
1972769651
Registry record updated Dec 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DI00000903 Issued in WA
Practice address
1011 E 2ND Ave
Suite 6
Spokane, WA 99202-2207
Phone
(509) 744-9891
Fax
(509) 742-3495
NPI assigned
Aug 1, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X DI00000903 WA Primary

Addresses

Primary practice location

1011 E 2ND Ave
Suite 6
Spokane, WA 99202-2207

Mailing address

1011 E 2ND Ave
Suite 6
Spokane, WA 99202-2207
Phone (509) 744-9891

Other identifiers 1

IdentifierTypeStateIssuer
8511545MedicaidWA

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

NPI Registry JSON

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

{
    "created_epoch": "1217548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291248000000",
    "number": "1972769651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 E 2ND AVE",
            "address_2": "SUITE 6",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992022207",
            "telephone_number": "509-744-9891",
            "fax_number": "509-742-3495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 E 2ND AVE",
            "address_2": "SUITE 6",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992022207",
            "telephone_number": "509-744-9891",
            "fax_number": "509-742-3495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WETMORE",
        "first_name": "VERNA",
        "middle_name": "R",
        "credential": "RD, CD, LD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-01",
        "last_updated": "2010-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WA",
            "license": "DI00000903",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8511545",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2010; 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.