Active NPI
Anita Kayvon Wippel, FNP-C
- Family Nurse Practitioner
- Proctorville, OH
National Provider Identifier
1023101151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN282306
- Practice address
- 501 State St
Proctorville, OH 45669-3015 - Phone
- (740) 886-2674
- Fax
- (740) 886-2675
- NPI assigned
- Oct 2, 2006
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN282306 | OH | Primary |
Addresses
Primary practice location
501 State St
Proctorville, OH 45669-3015
Mailing address
501 State St
Proctorville, OH 45669-3015
Phone (740) 886-2674
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7105046000 | Medicaid | WV | |
| 2256348 | Medicaid | OH |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN282306 | OH | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1360195200000",
"number": "1023101151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 STATE ST",
"city": "PROCTORVILLE",
"state": "OH",
"postal_code": "456693015",
"telephone_number": "740-886-2674",
"fax_number": "740-886-2675"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 STATE ST",
"city": "PROCTORVILLE",
"state": "OH",
"postal_code": "456693015",
"telephone_number": "740-886-2674",
"fax_number": "740-886-2675"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIPPEL",
"first_name": "ANITA",
"middle_name": "KAYVON",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-02",
"last_updated": "2013-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "RN282306",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7105046000",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2256348",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Proctorville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.