Individual provider Active NPI

Laura Ann Widdice, RN

  • School Registered Nurse
  • Renton, WA
National Provider Identifier
1972930626
Registry record updated Sep 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
RN00117195 Issued in WA
Practice address
300 SW 7TH St
Renton, WA 98057-2307
Phone
(425) 204-2320
Fax
(425) 204-2327
NPI assigned
Sep 26, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X RN00117195 WA Primary

Addresses

Primary practice location

300 SW 7TH St
Renton, WA 98057-2307

Mailing address

300 SW 7TH St
Renton, WA 98057-2307
Phone (425) 204-2320

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN00117195WAMDSchool Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1380153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380153600000",
    "number": "1972930626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 SW 7TH ST",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980572307",
            "telephone_number": "425-204-2320",
            "fax_number": "425-204-2327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 SW 7TH ST",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980572307",
            "telephone_number": "425-204-2320",
            "fax_number": "425-204-2327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIDDICE",
        "first_name": "LAURA",
        "middle_name": "ANN",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-26",
        "last_updated": "2013-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "WA",
            "license": "RN00117195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Renton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2013; 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.