Lolisa Denise Wiley, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

PN-098381 Issued in OH

Practice address

27107 Kingshighway
Warrensville HTS, OH 44128

Phone

(216) 751-2840

NPI assigned

Apr 12, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073737771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18420 GARDEN BLVD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441282629",
            "telephone_number": "216-751-1083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27107 KINGSHIGHWAY",
            "city": "WARRENSVILLE HTS",
            "state": "OH",
            "postal_code": "44128",
            "telephone_number": "216-751-2840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILEY",
        "first_name": "LOLISA",
        "middle_name": "DENISE",
        "name_prefix": "Ms.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "PN-098381",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "107420131899",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Suburban Internal Medicine Services
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• Avery Woods
• Yanke Bionics Inc
• Jerome B Yokiel, MD

• Licensed Practical Nurse in Warrensville HTS, OH
• Providers in Warrensville HTS, OH by specialty
• Licensed Practical Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.