Amanda L Wengs, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

L18298 Issued in NM

Practice address

13A San Marcos Loop
Santa Fe, NM 87508-7083

Phone

(505) 986-4000

NPI assigned

Feb 21, 2023

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

State licenses

Practice roles

Locations

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

• Southwest Regional Education Cooperative

  • Local Education Agency (LEA)
  • Deming, NM
  • NPI 1114081858
  NPD

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

{
    "created_epoch": "1676937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676937600000",
    "number": "1154029858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1321 E POPLAR ST",
            "city": "DEMING",
            "state": "NM",
            "postal_code": "880304807",
            "telephone_number": "575-546-5951",
            "fax_number": "575-546-5994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13A SAN MARCOS LOOP",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875087083",
            "telephone_number": "505-986-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENGS",
        "first_name": "AMANDA",
        "middle_name": "L",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-21",
        "last_updated": "2023-02-21",
        "certification_date": "2023-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NM",
            "license": "L18298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wellness Works Physical Therapy LLC
• Wellspring Healing
• Thomas Edward Welter, MC LPCC
• Wendy Ludlow
• Ssu Isabel Weng, MD
• Karen Renee Wennberg, MA, LPCC, LPAT
• Andrea Michelle Wennersten, M.S. CCC-SLP
• Daniel Wentland
• Jeanne M Wenzke, LISW
• Virginia Marie Weppner, LMT

• Licensed Practical Nurse in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Licensed Practical Nurse in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2023; 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.