KENDALL NICOLE WEIERICH MD
NPI 1124667423
Student in an Organized Health Care Education/Training Program in Seattle, WA

Active since January 03, 2020PECOS Enrolled
925 SENECA ST, SEATTLE, WA 98101(206) 583-6079 Get Directions Write a Review

NPPES record last updated: March 25, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 25, 2021, Jan 3, 2020 (2 updates tracked since 2020).

About Kendall Nicole Weierich Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENDALL NICOLE WEIERICH MD (NPI 1124667423) is an individual student in an organized health care education/training program in Seattle, Washington and active in the NPI registry since January 2020. She is enrolled in Medicare PECOS and maintains a secondary practice location in Portland.

NPPES Registry Identity

NPI1124667423
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKENDALL NICOLE WEIERICHCredential: MD
Location Address925 SENECA STSeattle, WA 98101-2742
Mailing Address3495 Belknap DrWest Linn, OR 97068-9292 · (650) 999-1944
Sole ProprietorNo
Enumeration DateJanuary 3, 2020
Last NPPES UpdateMarch 25, 20212 updates tracked since enumeration
NPPES CertifiedMarch 25, 2021
NPI 1124667423 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
925 SENECA ST, Seattle, WA 98101

Secondary Practice Location 1

Location 13181 SW Sam Jackson Park RdPortland, OR 97239-3011 · Phone (503) 494-8311

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kendall Nicole Weierich Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Hospitalist
925 SENECA ST
SEATTLE, WA 98101
Student in an Organized Health Care Education/Training Program
925 SENECA ST
SEATTLE, WA 98101
Student in an Organized Health Care Education/Training Program
925 SENECA ST
SEATTLE, WA 98101
Hospitalist
925 SENECA ST
SEATTLE, WA 98101
Emergency Medicine
925 SENECA ST
SEATTLE, WA 98101
Hospitalist
925 SENECA ST
SEATTLE, WA 98101
Student in an Organized Health Care Education/Training Program
925 SENECA ST, MAIL STOP: H8-GME
SEATTLE, WA 98101
Student in an Organized Health Care Education/Training Program
925 SENECA ST
SEATTLE, WA 98101

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kendall Weierich's NPI number?

The NPI number for Kendall Weierich is 1124667423. It was assigned to this individual provider in the NPPES registry on January 3, 2020.

Where is Kendall Weierich located?

Kendall Weierich practices at 925 Seneca St, Seattle, WA 98101. The listed phone number is (206) 583-6079.

What is Kendall Weierich's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Kendall Weierich enrolled in Medicare?

Yes. Kendall Weierich is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kendall Weierich was last updated on March 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.