Tamela Wise, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

PN-127627 Issued in OH

Practice address

3332 Knowlton Rd
Rock Creek, OH 44084-9409

Phone

(440) 563-5612

NPI assigned

Aug 6, 2009

Last updated

Aug 6, 2009By 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

State licenses

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

{
    "created_epoch": "1249516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1249516800000",
    "number": "1245461326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2437 PLUM CREEK",
            "city": "ROCK CREEK",
            "state": "OH",
            "postal_code": "440849649",
            "telephone_number": "440-563-5612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3332 KNOWLTON RD",
            "city": "ROCK CREEK",
            "state": "OH",
            "postal_code": "440849409",
            "telephone_number": "440-563-5612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISE",
        "first_name": "TAMELA",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-06",
        "last_updated": "2009-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "PN-127627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Vaughn
• Keith Michael Walach, LPC, CAC
• Michelle Evette White
• Michael Wilhelm, CDCA
• Stevie Allison Williamson, LPC
• Dalton Witt, CDCA
• Marleah Wolfe, LPCC-S; LICDC-CS
• Renee Zele-Wilber

• Licensed Practical Nurse in Rock Creek, OH
• Providers in Rock Creek, OH by specialty
• Licensed Practical Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2009; 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.