Heather Jenee Wogomon, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

322736 Issued in OH

Practice address

107 Greenmoor Dr
Arcanum, OH 45304-1420

Phone

(937) 564-2624

NPI assigned

Oct 30, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1414627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414627200000",
    "number": "1013312263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 GREENMOOR DR",
            "city": "ARCANUM",
            "state": "OH",
            "postal_code": "453041420",
            "telephone_number": "937-564-2624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 GREENMOOR DR",
            "city": "ARCANUM",
            "state": "OH",
            "postal_code": "453041420",
            "telephone_number": "937-564-2624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOGOMON",
        "first_name": "HEATHER",
        "middle_name": "JENEE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-30",
        "last_updated": "2014-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "322736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Weaver
• Stormy Weaver
• Kristina Marie Weireter
• Whitaker Direct Primary Care, LLC
• Abby Marie Whitaker, APRN-CNP
• Heidi R Yount, MD

• All providers in Arcanum, OH
• Registered Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2014; 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.