Individual provider Active NPI

Wendy G. Steppe

  • Gerontology Registered Nurse
  • Vinton, VA
National Provider Identifier
1083234579
Registry record updated Apr 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Registered NurseTaxonomy code 163WG0600X
License
0001209365 Issued in VA
Practice address
4622 Nemmo Rd
Vinton, VA 24179-5962
Phone
(540) 494-0871
Fax
(540) 981-7469
NPI assigned
Apr 24, 2020
Last updated
Apr 24, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Registered Nurse 163WG0600X 0001209365 VA Primary

Addresses

Primary practice location

4622 Nemmo Rd
Vinton, VA 24179-5962

Mailing address

2001 Crystal Spring Ave SW Ste 302
Roanoke, VA 24014-2465
Phone (540) 494-0871

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

State licenses

LicenseStateTypeSpecialty
0001209365VAMDGerontology Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Senior Cognitive Wellness, PLLC Gerontology PastSince Apr 26, 2020 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1587686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587686400000",
    "number": "1083234579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 CRYSTAL SPRING AVE SW STE 302",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240142465",
            "telephone_number": "540-494-0871",
            "fax_number": "540-981-7469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4622 NEMMO RD",
            "city": "VINTON",
            "state": "VA",
            "postal_code": "241795962",
            "telephone_number": "540-494-0871",
            "fax_number": "540-981-7469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPPE",
        "first_name": "WENDY",
        "middle_name": "G.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-24",
        "last_updated": "2020-04-24",
        "certification_date": "2020-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Gerontology",
            "state": "VA",
            "license": "0001209365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vinton, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2020; 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.