Active NPI
Daniel Vanwingerden, RN
- Diabetes Educator Registered Nurse
- Cadillac, MI
National Provider Identifier
1093529331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diabetes Educator Registered Nurse
- License
- 4704321265
- Practice address
- 400 Hobart St
Cadillac, MI 49601-2331 - Phone
- (231) 876-7905
- Fax
- (231) 935-8215
- NPI assigned
- Feb 6, 2025
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Diabetes Educator Registered Nurse | 163WD0400X | 4704321265 | MI | Primary |
Addresses
Primary practice location
400 Hobart St
Cadillac, MI 49601-2331
Mailing address
PO Box 134
Reed City, MI 49677-0134
Other practice location 1
1105 Sixth St
Traverse City, MI 49684-2386
Phone (231) 935-8200
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704321265 | MI | MD | Diabetes Educator Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1738800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738800000000",
"number": "1093529331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 134",
"city": "REED CITY",
"state": "MI",
"postal_code": "496770134"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 HOBART ST",
"city": "CADILLAC",
"state": "MI",
"postal_code": "496012331",
"telephone_number": "231-876-7905",
"fax_number": "231-935-8215"
}
],
"practiceLocations": [
{
"address_1": "1105 Sixth St",
"address_purpose": "LOCATION",
"city": "Traverse City",
"state": "MI",
"postal_code": "496842386",
"country_code": "US",
"telephone_number": "231-935-8200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VANWINGERDEN",
"first_name": "DANIEL",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-02-06",
"last_updated": "2025-02-06",
"certification_date": "2025-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "163WD0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Diabetes Educator",
"state": "MI",
"license": "4704321265",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cadillac, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.