Jill L Weese, MSN, RN, CDE

Primary specialty

Diabetes Educator Registered NurseTaxonomy code 163WD0400X

License

28186606A Issued in IN

Practice address

1201 Michigan Ave Ste 270
Logansport, IN 46947-1530

Phone

(574) 753-1339

NPI assigned

Jul 18, 2018

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1531872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531872000000",
    "number": "1023594413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 MICHIGAN AVE STE 270",
            "city": "LOGANSPORT",
            "state": "IN",
            "postal_code": "469471530",
            "telephone_number": "574-753-1339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 MICHIGAN AVE STE 270",
            "city": "LOGANSPORT",
            "state": "IN",
            "postal_code": "469471530",
            "telephone_number": "574-753-1339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEESE",
        "first_name": "JILL",
        "middle_name": "L",
        "credential": "MSN, RN, CDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-18",
        "last_updated": "2018-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "IN",
            "license": "28186606A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon E Wampler, LCSW
• Zhengyi Wang
• Sonja Marie Ward
• Jeremy Wayman, PT
• David R Weber, MA
• Roberta H Weinstein, PTA
• Todd Steven Weinstein, MD
• Alainna Wen, MA
• Angel White, RN
• Brandon L Whitehead, RDN

• Diabetes Educator Registered Nurse in Logansport, IN
• Providers in Logansport, IN by specialty
• Diabetes Educator Registered Nurse in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2018; 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.