Kristine Anne Wodarski, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN-228040 Issued in OH

Practice address

1035 Leith St
Maumee, OH 43537-3016

Phone

(419) 346-0055

NPI assigned

Dec 23, 2020

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

Other names 1

• Kristine Wodarski Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1608681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608681600000",
    "number": "1255928255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 LEITH ST",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435373016",
            "telephone_number": "419-346-0055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 LEITH ST",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435373016",
            "telephone_number": "419-346-0055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WODARSKI",
        "first_name": "KRISTINE",
        "middle_name": "ANNE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-23",
        "last_updated": "2020-12-23",
        "certification_date": "2020-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN-228040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTINE",
            "last_name": "WODARSKI",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Christina Wishart, RN
• Leslie Witherell, MSW, LISW
• Nathan Witt, PHARMD
• WLB Interventional, LLC
• Jamie Wlosowicz
• Brooke Woelfl, RBT
• Laura Stephanie Wolfe, CDCA
• Catherine Womack, NP
• Beth Ann Wong I, LSW
• Kimberly G Wopshall, P.T.

• Registered Nurse in Maumee, OH
• Providers in Maumee, OH by specialty
• Registered Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2020; 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.