IndividualActive
Bonita Wegenast, LMP
NPI 1154627958 · Specialist · Friday Harbor, WA
Provider details
- NPI number
- 1154627958
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Credential
- LMP
- Sex
- Female
- Sole proprietor
- Yes
- License
- MA00014562 (WA)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
580 Guard St
Friday Harbor, WA 98250-8044
Phone: (360) 370-5118
Street-level locationGet directions
Mailing address
153 Cordova Ln
Friday Harbor, WA 98250-8435
Registry dates
- Enumerated
- 2011-01-27
- Last updated
- 2011-01-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.