Wiline Louis-Sidne, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

31354 Issued in CT

Practice address

400 Post Rd
Fairfield, CT 06824-6244

Phone

(203) 219-8680

Fax

(888) 465-7286

NPI assigned

Apr 15, 2021

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": "1618444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618531200000",
    "number": "1346821030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 FOUNDERS WAY",
            "city": "MONROE",
            "state": "CT",
            "postal_code": "064681827",
            "telephone_number": "203-219-8680",
            "fax_number": "888-465-7286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 POST RD",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068246244",
            "telephone_number": "203-219-8680",
            "fax_number": "888-465-7286"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "955 Connecticut Ave",
            "address_purpose": "LOCATION",
            "city": "Bridgeport",
            "state": "CT",
            "postal_code": "066071224",
            "country_code": "US",
            "telephone_number": "203-508-0847",
            "fax_number": "888-465-7286",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 Post Rd Unit 2",
            "address_purpose": "LOCATION",
            "city": "Fairfield",
            "state": "CT",
            "postal_code": "068246244",
            "country_code": "US",
            "telephone_number": "203-219-8680",
            "fax_number": "888-465-7286",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOUIS-SIDNE",
        "first_name": "WILINE",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-15",
        "last_updated": "2021-04-16",
        "certification_date": "2021-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "CT",
            "license": "31354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Licensed Practical Nurse in Fairfield, CT
• Providers in Fairfield, CT by specialty
• Licensed Practical Nurse in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2021; 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.