Wendi Johnson Stewart, RN

Primary specialty

General Practice Registered NurseTaxonomy code 163WG0000X

License

RN.1620108 Issued in CO

Practice address

3482 Broadway St
Boulder, CO 80304-1824

Phone

(303) 413-7799

NPI assigned

Jul 25, 2017

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)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1500940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1500940800000",
    "number": "1104349711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3450 BROADWAY ST",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803041824",
            "telephone_number": "303-413-7799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3482 BROADWAY ST",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803041824",
            "telephone_number": "303-413-7799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "WENDI",
        "middle_name": "JOHNSON",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-25",
        "last_updated": "2017-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "CO",
            "license": "RN.1620108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret Langlois Stevenson, LCSW
• Kara Stewart, MSW
• Kyle Thomas Stewart
• Maryanna F. Stewart, M.A.
• Travis Stewart, DC
• Trenton Stickney, PA-C
• Jeffrey Stieb, PT
• Cara Stiles, LCSW
• Sarah White Stillman, L.AC, MSOM
• Sonja Kirsten Stilp, M.D.

• General Practice Registered Nurse in Boulder, CO
• Providers in Boulder, CO by specialty
• General Practice Registered Nurse in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2017; 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.