Active NPI
Wendy Blue, RN, CDE
- Diabetes Educator Registered Nurse
- Maple Grove, MN
National Provider Identifier
1215487525
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diabetes Educator Registered Nurse
- License
- 238365-7
- Practice address
- 14500 99TH Ave N
Maple Grove, MN 55369-4730 - Phone
- (763) 898-1000
- Fax
- (763) 898-1374
- NPI assigned
- Oct 11, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Diabetes Educator Registered Nurse | 163WD0400X | 238365-7 | MN | Primary |
Addresses
Primary practice location
14500 99TH Ave N
Maple Grove, MN 55369-4730
Mailing address
14500 99TH Ave N
Maple Grove, MN 55369-4730
Phone (763) 898-1000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 238365-7 | Other | MN | RN |
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 238365-7 | MN | MD | Diabetes Educator Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476144000000",
"number": "1215487525",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14500 99TH AVE N",
"city": "MAPLE GROVE",
"state": "MN",
"postal_code": "553694730",
"telephone_number": "763-898-1000",
"fax_number": "763-898-1374"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14500 99TH AVE N",
"city": "MAPLE GROVE",
"state": "MN",
"postal_code": "553694730",
"telephone_number": "763-898-1000",
"fax_number": "763-898-1374"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLUE",
"first_name": "WENDY",
"credential": "RN, CDE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-10-11",
"last_updated": "2016-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "163WD0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Diabetes Educator",
"state": "MN",
"license": "238365-7",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RN",
"identifier": "238365-7",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Maple Grove, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.