Active NPI
Jennie L. Wahrer, RN 0072621
- Registered Nurse
- Eagle, CO
National Provider Identifier
1013337260
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN0072621
- Practice address
- 551 Broadway
Eagle, CO 81631-0660 - Phone
- (970) 328-8840
- Fax
- (855) 848-8829
- NPI assigned
- Apr 25, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN0072621 | CO | Primary |
Addresses
Primary practice location
551 Broadway
Eagle, CO 81631-0660
Mailing address
PO Box 660
Eagle, CO 81631-0660
Phone (970) 328-8840
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN0072621 | CO | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398384000000",
"number": "1013337260",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 660",
"city": "EAGLE",
"state": "CO",
"postal_code": "816310660",
"telephone_number": "970-328-8840",
"fax_number": "855-848-8829"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "551 BROADWAY",
"city": "EAGLE",
"state": "CO",
"postal_code": "816310660",
"telephone_number": "970-328-8840",
"fax_number": "855-848-8829"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAHRER",
"first_name": "JENNIE",
"middle_name": "L.",
"credential": "RN 0072621",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-04-25",
"last_updated": "2014-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CO",
"license": "RN0072621",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eagle, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 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.