Wende Denise Hargrove, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

444305 Issued in CA

Practice address

5100 Sierra College Blvd
Rocklin, CA 95677-3855

Phone

(916) 660-7490

NPI assigned

Jul 7, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Wende D Fortner Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sierra Joint Community College District

  • Student Health Clinic/Center
  • Rocklin, CA
  • NPI 1669657219
  NPD

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686873600000",
    "number": "1003814765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 SIERRA COLLEGE BLVD",
            "address_2": "STUDENT HEALTH SERVICES",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "956773855",
            "telephone_number": "916-660-7490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 SIERRA COLLEGE BLVD",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "956773855",
            "telephone_number": "916-660-7490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARGROVE",
        "first_name": "WENDE",
        "middle_name": "DENISE",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-07",
        "last_updated": "2023-06-16",
        "certification_date": "2023-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "444305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WENDE",
            "last_name": "FORTNER",
            "middle_name": "D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Hannah Flammang Chiropractic Corporation
• Trina Hara, M.D.
• Pernell Lee Harden Jr.
• Marilyn Eileen Harder, RWP, NCPT, BOWENWORK
• Terra Hargens
• Harley Vande Streek
• Vickie Ruth Harmon, M.S., MFT
• Harmonyhealthcare Trans
• Erna Harms, OTR
• Rashad Docca Harrell

• Family Nurse Practitioner in Rocklin, CA
• Providers in Rocklin, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.