Mandie Leigh Wiant

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

8201 S Crow Cutoff
Pueblo, CO 81004-9704

Phone

(719) 568-0713

NPI assigned

Apr 15, 2021

Last updated

Nov 15, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1618444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700006400000",
    "number": "1235710948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 N MAIN ST",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810033020",
            "telephone_number": "719-470-0320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8201 S CROW CUTOFF",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810049704",
            "telephone_number": "719-568-0713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIANT",
        "first_name": "MANDIE",
        "middle_name": "LEIGH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-15",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Christine Whitney, M.D.
• Rachel Elizabeth Whitten, MSN, APRN, FNP
• Maria Gloria Whitton, BS
• Whole Person Psychotherapy
• Nikolos Whybrew
• Erik Matthews Wickstrum, CRNA
• Samuel Lawrence Widdowson, FNP-BC
• William Donald Wierman, MD
• Kori Wilcutt
• Wildform Therapy, PLLC

• Counselor in Pueblo, CO
• Providers in Pueblo, CO by specialty
• Counselor in Colorado

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