Active NPI
Wildecare Education
- Emergency Registered Nurse
- Liberty Lake, WA
National Provider Identifier
1275495657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Registered Nurse
- Legal business name
- WILDECARE EDUCATION
- Practice address
- 24244 E Desmet Rd
Liberty Lake, WA 99019-7609 - Phone
- (208) 420-7078
- NPI assigned
- Nov 24, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jennifer Wilde, REGISTERED NURSE
- Title
- Owner
- Phone
- (208) 420-7078
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Registered Nurse | 163WE0003X | Primary |
Addresses
Primary practice location
24244 E Desmet Rd
Liberty Lake, WA 99019-7609
Mailing address
24244 E Desmet Rd
Liberty Lake, WA 99019-7609
Phone (208) 420-7078
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Registered Nurse
- Liberty Lake, WA
- NPI 1578425955
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1763942400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1763942400000",
"number": "1275495657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24244 E DESMET RD",
"city": "LIBERTY LAKE",
"state": "WA",
"postal_code": "990197609",
"telephone_number": "208-420-7078"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24244 E DESMET RD",
"city": "LIBERTY LAKE",
"state": "WA",
"postal_code": "990197609",
"telephone_number": "208-420-7078"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WILDECARE EDUCATION",
"organizational_subpart": "NO",
"enumeration_date": "2025-11-24",
"last_updated": "2025-11-24",
"certification_date": "2025-11-24",
"status": "A",
"authorized_official_last_name": "WILDE",
"authorized_official_first_name": "JENNIFER",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "208-420-7078",
"authorized_official_credential": "REGISTERED NURSE"
},
"taxonomies": [
{
"code": "163WE0003X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Registered Nurse, Emergency",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Liberty Lake, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.