Individual provider Active NPI

Mary Sue Wheeler, APN

  • Registered Nurse
  • Huntsville, AL
National Provider Identifier
1114185287
Registry record updated Oct 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
0001070766 Issued in VA
Practice address
Uah College of Nursing
Nursing Building
Huntsville, AL 35899-0001
Phone
(703) 608-2986
NPI assigned
May 27, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 0001070766 VA Primary
Registered Nurse 163W00000X 1-132507 AL

Addresses

Primary practice location

Uah College of Nursing
Nursing Building
Huntsville, AL 35899-0001

Mailing address

Uah College of Nursing
Nursing Building
Huntsville, AL 35899-0001
Phone (703) 608-2986

Other identifiers 2

IdentifierTypeStateIssuer
1-132507OtherALALABAMA BOARD OF NURSING
0001070766OtherVALICENSE

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1-132507ALMDRegistered Nurse
0001070766VAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1211846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381276800000",
    "number": "1114185287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "UAH COLLEGE OF NURSING",
            "address_2": "NURSING BUILDING",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358990001",
            "telephone_number": "703-608-2986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UAH COLLEGE OF NURSING",
            "address_2": "NURSING BUILDING",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358990001",
            "telephone_number": "703-608-2986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHEELER",
        "first_name": "MARY",
        "middle_name": "SUE",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-27",
        "last_updated": "2013-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "0001070766",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AL",
            "license": "1-132507",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALABAMA BOARD OF NURSING",
            "identifier": "1-132507",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "0001070766",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2013; 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.