Wendy Acorn, LMP
Individual provider Active NPI Community Health Worker · Seattle, WA
NPI 1992957674 · NPPES record last updated Oct 14, 2008
Key facts
- NPI
- 1992957674
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Worker 172V00000X
- License
- MA00004249 (WA)
- Practice address
- 2132 44TH Ave SW
Seattle, WA 98116-2102 - Phone
- (206) 261-0160
- NPI assigned
- Oct 14, 2008
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA00004249 | WA | MD | Community Health Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | MA00004249 | WA | Yes |
Addresses
Primary practice location
2132 44TH Ave SW
Seattle, WA 98116-2102
Mailing address
5110 S Frontenac St
Seattle, WA 98118-3432
Phone (206) 760-0199
Other providers in Seattle, WA
- Stanford H. Ackley
- Gail Acob
- Phillip Ruiz Acoba
- Jessica Acolin
- Acorn and Oak Behavioral and Educational Services LLC
- David Al Acosta
- Marilyn Acquah
- Haley Marie Acra
- Jennifer Acselrod
- Action Reaction Physical Therapy, Inc.
All providers in Seattle, WA · Community Health Worker in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 14, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.