Jacqueline Marie Wheeler, ADULT NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

307036 Issued in NY

Practice address

750 E Adams St
Advanced Practice Services
Syracuse, NY 13210-2306

Phone

(315) 464-1800

Fax

(315) 464-6174

NPI assigned

Dec 15, 2014

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)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1418601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418601600000",
    "number": "1134527609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 E ADAMS ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132102306",
            "telephone_number": "315-464-1800",
            "fax_number": "315-464-6174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 E ADAMS ST",
            "address_2": "ADVANCED PRACTICE SERVICES",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132102306",
            "telephone_number": "315-464-1800",
            "fax_number": "315-464-6174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHEELER",
        "first_name": "JACQUELINE",
        "middle_name": "MARIE",
        "credential": "ADULT NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-15",
        "last_updated": "2014-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "307036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colleen Anne Whalen, COTA/L
• Meghan Whalen, LPN
• William CC Whalen, DDS
• Jennifer Whang
• Danielle J Wheeler Vickery, PT
• Kelly Ann Wheeler, FNP
• Christina Marie Wheelock, FNP-C
• Maria Elizabeth Wheelock, NP
• E. Anne Whelan
• Ashley Whitaker

• Adult Health Nurse Practitioner in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Adult Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2014; 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.