Provider Demographics
NPI:1497816649
Name:NEPPE, VERNON M (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:VERNON
Middle Name:M
Last Name:NEPPE
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6300 NINTH AVENUE NE
Mailing Address - Street 2:SUITE 353
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98115-8517
Mailing Address - Country:US
Mailing Address - Phone:206-527-6289
Mailing Address - Fax:206-892-9689
Practice Address - Street 1:6300 NINTH AVENUE NE
Practice Address - Street 2:SUITE 353
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98115-8517
Practice Address - Country:US
Practice Address - Phone:206-527-6289
Practice Address - Fax:206-892-9689
Is Sole Proprietor?:No
Enumeration Date:2006-12-12
Last Update Date:2016-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA0235112084F0202X, 2084N0400X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No2084F0202XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyForensic Psychiatry
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA000102889Medicare ID - Type Unspecified
WAA05261Medicare UPIN