Jason David Wettig, LVN

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

685799 Issued in CA

Practice address

6199 Sunrise Blvd
Citrus Heights, CA 95610-6834

Phone

(916) 726-6802

NPI assigned

Apr 5, 2023

Sex

Male

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

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Walgreen Co

  • Pharmacy
  • Citrus Heights, CA
  • NPI 1750581740
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1680652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680652800000",
    "number": "1073208203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1437 W COLONIAL PKWY",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956615006",
            "telephone_number": "408-674-6215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6199 SUNRISE BLVD",
            "city": "CITRUS HEIGHTS",
            "state": "CA",
            "postal_code": "956106834",
            "telephone_number": "916-726-6802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WETTIG",
        "first_name": "JASON",
        "middle_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "LVN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-04-05",
        "last_updated": "2023-04-05",
        "certification_date": "2023-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "685799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsay Wells
• Wellspace Health
• Wellspace Health
• Tonya Wessman
• West Coast Maxillofacial Imaging
• Brittanee Wheaton
• Sumerlyn Ellen Whicker
• Jason Ivan Whitby
• Iridian White
• McKenna White

• Licensed Vocational Nurse in Citrus Heights, CA
• Providers in Citrus Heights, CA by specialty
• Licensed Vocational Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2023; 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.