Charles McEwen Wheeler III, MSN,RN,PNP-BC,CCRN

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

101-0113805 Issued in VT

Practice address

1 General Wing Rd
Rutland, VT 05701-4681

Phone

(802) 773-9131

Fax

(802) 773-1551

NPI assigned

Feb 19, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1361232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440979200000",
    "number": "1295075869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 STRATTON RD",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "057014621",
            "telephone_number": "802-855-2027",
            "fax_number": "802-855-2053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 GENERAL WING RD",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "057014681",
            "telephone_number": "802-773-9131",
            "fax_number": "802-773-1551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHEELER",
        "first_name": "CHARLES",
        "middle_name": "MCEWEN",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "MSN,RN,PNP-BC,CCRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-02-19",
        "last_updated": "2015-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MA",
            "license": "RN240316",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "VT",
            "license": "101-0113805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wendy Wentz
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• Bailey Madison West
• Brooke J Whalen, LICSW
• Wheeler Plastic & Reconstructive Surgery,Inc
• John C Wheeler, DMD,MD
• William Edward Wheeler, LHAD
• Elizabeth Whitcomb, CCC-SLP
• White River Junction Vamc
• Doreen M White, RPH

• Pediatric Nurse Practitioner in Rutland, VT
• Providers in Rutland, VT by specialty
• Pediatric Nurse Practitioner in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2015; 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.