Active NPI
Natalie Ruth Wergeland
- Pharmacist
- Humboldt, IA
National Provider Identifier
1184843914
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- W18020
- Practice address
- 611 10TH Ave N
Humboldt, IA 50548-1462 - Phone
- (515) 332-5082
- NPI assigned
- Apr 24, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | W18020 | IA | Primary |
Addresses
Primary practice location
611 10TH Ave N
Humboldt, IA 50548-1462
Mailing address
1810 Utah Ave
Hardy, IA 50545-8712
Phone (515) 824-3706
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0098673 | Medicaid | IA |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| W18020 | IA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1184843914",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1810 UTAH AVE",
"city": "HARDY",
"state": "IA",
"postal_code": "505458712",
"telephone_number": "515-824-3706"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "611 10TH AVE N",
"city": "HUMBOLDT",
"state": "IA",
"postal_code": "505481462",
"telephone_number": "515-332-5082"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WERGELAND",
"first_name": "NATALIE",
"middle_name": "RUTH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-24",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IA",
"license": "W18020",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0098673",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Humboldt, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.