Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Vienna Krumwiede

Individual provider Internal Medicine Physician · NPI 1265225098

Vienna Krumwiede is a Physician Assistant in Lakewood, Washington. Qualified in 2025, 1 year ago. Practices with Fandm Healthcare, LLC, a 29-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
1
Licensed in
WA
In the registry since
2025
Specialties on file
2
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Practice location Address checks out

11411 Bridgeport Way SW
Lakewood, WA 98499-3047
Phone: (253) 581-9002
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 630 N Fairview Dr, Tacoma, WA 98406-1015 — (253) 777-1423

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA61678730 (WA)
Internal Medicine Physician Taxonomy 207R00000X · Licence PA.PA.61678730 (WA)

Record details

NPI number1265225098
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 24, 2025
Last updated in NPPESJune 16, 2025
Certification dateJune 16, 2025
Mailing address11411 Bridgeport Way Sw, Lakewood, WA 98499-3047

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Fandm Healthcare, Llc — 29 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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