Teresita C Wisdom, A.N.R.P.

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

46780 Issued in KY

Practice address

9700 Stonestreet Rd
Louisville, KY 40272-2884

Phone

(502) 995-2450

Fax

(502) 995-2464

NPI assigned

Oct 31, 2008

Sex

Female

Sole proprietor

No

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)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Physicians in Emergency Medicine PSC

  • Emergency Medicine Physician
  • Louisville, KY
  • NPI 1477532554

  Nurse Practitioner

  NPD (past)

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

{
    "created_epoch": "1225411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343174400000",
    "number": "1275786451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5454 NEW CUT RD",
            "address_2": "SUITE 5",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402144271",
            "telephone_number": "502-995-2450",
            "fax_number": "502-995-2464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9700 STONESTREET RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402722884",
            "telephone_number": "502-995-2450",
            "fax_number": "502-995-2464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISDOM",
        "first_name": "TERESITA",
        "middle_name": "C",
        "credential": "A.N.R.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-31",
        "last_updated": "2012-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "46780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Winters
• Nathaniel Winters, DPM
• Stephen J Winters, MD
• Wisdom & Health Rehab Centre LLC
• Rodney Quinn Wisdom, D.C.
• Amy Wise, M.D.
• Ashley Wise
• Elizabeth Hillery Wise, ARNP
• Melissa Jo Wise, M.D.
• Quentin Virgil Wise

• Nurse Practitioner in Louisville, KY
• Providers in Louisville, KY by specialty
• Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2012; 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.