Jeana Rae Wisinski

Primary specialty

Clinical Nurse SpecialistTaxonomy code 364S00000X

License

4704230821NSA2206N Issued in MI

Practice address

11800 Sandy Bottom Rd NE
Greenville, MI 48838-9353

Phone

(616) 443-3839

NPI assigned

Apr 21, 2022

Last updated

Apr 21, 2022By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1650499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650499200000",
    "number": "1336883933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11800 SANDY BOTTOM RD NE",
            "city": "GREENVILLE",
            "state": "MI",
            "postal_code": "488389353",
            "telephone_number": "616-443-3839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11800 SANDY BOTTOM RD NE",
            "city": "GREENVILLE",
            "state": "MI",
            "postal_code": "488389353",
            "telephone_number": "616-443-3839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISINSKI",
        "first_name": "JEANA",
        "middle_name": "RAE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-21",
        "last_updated": "2022-04-21",
        "certification_date": "2022-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364S00000X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist",
            "state": "MI",
            "license": "4704230821NSA2206N",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Lea Wheeler-Gough, LMSW
• Craig W White, D.O.
• Monica Jean Wilds, MSOT
• Trudy Willadson, LMFT
• Jonathan Patrick Windeler, MD
• Marci Frances Witkowski, LMSW
• Alexander James Witte, MD
• Theodore J Wohlford, LPC, LMFT, NCC
• Cheryl Rager Woodward, PT
• Sarah Elizabeth Workman, LLPC

• Clinical Nurse Specialist in Greenville, MI
• Providers in Greenville, MI by specialty
• Clinical Nurse Specialist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2022; 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.