Individual provider Active NPI

Fanie Wehmanen

  • Registered Nurse
  • Athens, GA
National Provider Identifier
1003438979
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN273751 Issued in GA
Practice address
240 Mitchell Bridge Rd
Athens, GA 30606-2043
Phone
(706) 612-6995
Fax
(706) 369-6328
NPI assigned
May 13, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Registered Nurse 163WE0003X RN273751 GA
Adult Psychiatric/Mental Health Registered Nurse 163WP0809X RN273751 GA
Registered Nurse 163W00000X RN273751 GA Primary

Addresses

Primary practice location

240 Mitchell Bridge Rd
Athens, GA 30606-2043

Mailing address

3364 Ridge Manor Way
Dacula, GA 30019-2728
Phone (561) 859-4172

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address fwehmanen@advantagebhs.org Health Information Exchange (HIE) Advantage Behavioral Health Systems

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RN273751GAMDRegistered Nurse

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1589328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1003438979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3364 RIDGE MANOR WAY",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300192728",
            "telephone_number": "561-859-4172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 MITCHELL BRIDGE RD",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306062043",
            "telephone_number": "706-612-6995",
            "fax_number": "706-369-6328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEHMANEN",
        "first_name": "FANIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-13",
        "last_updated": "2023-11-27",
        "certification_date": "2020-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "GA",
            "license": "RN273751",
            "primary": false
        },
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "GA",
            "license": "RN273751",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN273751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "fwehmanen@advantagebhs.org",
            "affiliation": "Y",
            "endpointDescription": "fwehmanen@advantagebhs.org",
            "affiliationName": "Advantage Behavioral Health Systems",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "240 Mitchell Bridge Rd",
            "city": "Athens",
            "state": "GA",
            "country_code": "US",
            "postal_code": "306062043",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Athens, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.