Individual provider Active NPI

Michelle Gabrielle Wiant

  • Community Health Worker
  • Lompoc, CA
National Provider Identifier
1013552173
Registry record updated Aug 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
Practice address
401 E Cypress Ave
Lompoc, CA 93436-6806
Phone
(805) 865-1940
NPI assigned
Nov 13, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X Primary

Addresses

Primary practice location

401 E Cypress Ave
Lompoc, CA 93436-6806

Mailing address

401 E Cypress Ave
Lompoc, CA 93436-6806
Phone (805) 865-1940

Electronic endpoints 3

TypeEndpointUseAffiliation
Other URL https://cg.admhs.org/OLPN/Log_In.aspx
CONNECT URL https://cg.admhs.org/OLPN/Log_In.aspx
Other URL https://cg.admhs.org/OLPN/Log_In.aspx

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

NPI Registry JSON

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

{
    "created_epoch": "1573603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723593600000",
    "number": "1013552173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 E CYPRESS AVE",
            "city": "LOMPOC",
            "state": "CA",
            "postal_code": "934366806",
            "telephone_number": "805-865-1940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 E CYPRESS AVE",
            "city": "LOMPOC",
            "state": "CA",
            "postal_code": "934366806",
            "telephone_number": "805-865-1940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIANT",
        "first_name": "MICHELLE",
        "middle_name": "GABRIELLE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-13",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://cg.admhs.org/OLPN/Log_In.aspx",
            "affiliation": "N",
            "address_1": "401 E Cypress Ave",
            "city": "Lompoc",
            "state": "CA",
            "country_code": "US",
            "postal_code": "934366806",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cg.admhs.org/OLPN/Log_In.aspx",
            "affiliation": "N",
            "address_1": "401 E Cypress Ave",
            "city": "Lompoc",
            "state": "CA",
            "country_code": "US",
            "postal_code": "934366806",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://cg.admhs.org/OLPN/Log_In.aspx",
            "affiliation": "N",
            "address_1": "401 E Cypress Ave",
            "city": "Lompoc",
            "state": "CA",
            "country_code": "US",
            "postal_code": "934366806",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lompoc, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2024; 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.