WHITNEY WAKEFIELD WRISTON (NPI# 1992027510) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992027510 |
| Entity Type | Individual |
| Full Name | WHITNEY WAKEFIELD WRISTON |
| Other Name | WHITNEY WAKEFIELD SMITH |
| Credential | PA-C |
| Practice Address |
700 Washington St Ste 105 Vancouver WA 98660 |
| Mailing Address |
700 Washington St Ste 105 Vancouver WA 98660-3181 |
| Practice Telephone | 3608167380 |
| Mailing Telephone | 3608167380 |
| Enumeration Date | 2010-02-23 |
| Last Update Date | 2019-10-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 60634564 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | DEA REGISTRATION | MW2845785 | 01 |
| WA | PHYSICIAN ASSISTANT LICENSE | 60634564 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1075 Camino Del Rio S, San Diego, CA 921083538 | 6198814500 |
| Street Address |
700 WASHINGTON ST STE 105 |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98660 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053422527 | James Hennessy Jones | Family Medicine | 700 Washington St Ste 105, Vancouver, WA 98660-3181 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538779137 | Peacehealth Networks On Demand, LLC | Non-Pharmacy Dispensing Site | 781 W Columbia Way, Vancouver, WA 98660 | 2020-08-07 |
| 1538641527 | Melissa Molly Sivaram | Counselor | 1012 Esther St, Vancouver, WA 98660 | 2018-09-05 |
| 1679082598 | Christopher Lewis Schwab | Peer Specialist | 5197 Nw Lower River Rd, Vancouver, WA 98660 | 2017-09-22 |
| 1023560141 | Disabled Veterans Hawaii LLC | Durable Medical Equipment & Medical Supplies | 4817 Nw Fruit Valley Road, Suite 100, Vancouver, WA 98660 | 2016-10-25 |
| 1023493004 | Laura Nicole Wood | Counselor | 1104 Main St Ste M100, Vancouver, WA 98660 | 2015-07-20 |
| 1790034627 | Clark County Juvenile Court | Marriage & Family Therapist | 500 W 11th Street, Vancouver, WA 98660 | 2012-09-06 |
| 1538439104 | Hutton Chiropractic Clinic Inc | Chiropractor | 703 Broadway Street, Ste 650, Vancouver, WA 98660 | 2012-01-12 |
| 1134422629 | Brenda Marie Bible | Social Worker | 101 E 8th St Ste 110, Vancouver, WA 98660 | 2010-12-06 |
| 1871895409 | Donna L Benedicktus | Contractor | 210 E Evergreen Blvd, Vancouver, WA 98660 | 2010-12-02 |
| 1992007801 | Peter Ray Hasemeier | Massage Therapist | 805 Broadway St., Vancouver, WA 98660 | 2010-11-29 |
| Find all providers in zip 98660 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760028013 | Nina Mulargia | Physician Assistant | 4912 Ne 54th Ave, Vancouver, WA 98661-2742 | 2019-11-21 |
| 1902387863 | Theodore Rohan Thomas IIi | Physician Assistant | 2370 E 3rd Loop # 203a, Vancouver, WA 98661-7725 | 2018-08-28 |
| 1902310345 | Elowyn Smith | Physician Assistant | 16219 Se 12th St Ste 206, Vancouver, WA 98683-8906 | 2017-11-21 |
| 1154702728 | Kacie Marie Hamreus | Physician Assistant | 3101 Se 192nd Avenue, Vancouver, WA 98683 | 2015-06-09 |
| 1275910929 | Brandon Bruce Mascott | Physician Assistant | 16811 Se Mcgillivray Blvd # 101, Vancouver, WA 98683-3404 | 2015-05-01 |
| 1043614167 | Robyn Elizabeth Nash | Physician Assistant | 812 Se 136th Ave, Unit #l126, Vancouver, WA 98683-6943 | 2014-10-17 |
| 1588935498 | Krista Letsch | Physician Assistant | 14201 Ne 20th Ave Ste 3101, Vancouver, WA 98686-6414 | 2012-01-24 |
| 1528335130 | Jaime Erin Hamilton | Physician Assistant | 900 Ne 139th St Ste 202, Vancouver, WA 98685-2513 | 2011-11-28 |
| 1669760120 | Todd J. Cichosz | Physician Assistant | 2510 Columbia House Blvd, Vancouver, WA 98661-7763 | 2011-07-19 |
| 1992092324 | Jaime Larynn Simpkins | Physician Assistant | 400 Ne Mary Joseph Place, Vancouver, WA 98664 | 2011-07-06 |
| Find all providers in VANCOUVER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.