Individual provider Active NPI

David Lewis Wuischpard, RN

  • Psychiatric/Mental Health Registered Nurse
  • Surfside Beach, SC
National Provider Identifier
1255119111
Registry record updated Oct 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X
License
269692 Issued in SC
Practice address
1008 Dizzy CT
Surfside Beach, SC 29575-8646
Phone
(574) 344-1011
NPI assigned
Sep 20, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 12, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X 269692 SC Primary

Addresses

Primary practice location

1008 Dizzy CT
Surfside Beach, SC 29575-8646

Mailing address

1008 Dizzy CT
Surfside Beach, SC 29575-8646
Phone (574) 344-1011

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

LicenseStateTypeSpecialty
269692SCMDPsychiatric/Mental Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1695168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697068800000",
    "number": "1255119111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1008 DIZZY CT",
            "city": "SURFSIDE BEACH",
            "state": "SC",
            "postal_code": "295758646",
            "telephone_number": "574-344-1011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 DIZZY CT",
            "city": "SURFSIDE BEACH",
            "state": "SC",
            "postal_code": "295758646",
            "telephone_number": "574-344-1011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WUISCHPARD",
        "first_name": "DAVID",
        "middle_name": "LEWIS",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-09-20",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "SC",
            "license": "269692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Surfside Beach, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 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.