Active NPI
Beverly Wendell, MS, RN, GCNS-BC
- Gerontology Clinical Nurse Specialist
- Naperville, IL
National Provider Identifier
1366840407
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Clinical Nurse Specialist
- License
- 209004755
- Practice address
- 120 Spalding Dr
Suite 111
Naperville, IL 60540-6508 - Phone
- (630) 646-6118
- NPI assigned
- Dec 5, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Clinical Nurse Specialist | 364SG0600X | 209004755 | IL | Primary |
Addresses
Primary practice location
120 Spalding Dr
Suite 111
Naperville, IL 60540-6508
Mailing address
120 Spalding Drive
Suite 111
Naperville, IL 60540
Phone (630) 646-6118
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science, Registered Nurse
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1417737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1417737600000",
"number": "1366840407",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 SPALDING DRIVE",
"address_2": "SUITE 111",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "60540",
"telephone_number": "630-646-6118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 SPALDING DR",
"address_2": "SUITE 111",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605406508",
"telephone_number": "630-646-6118"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WENDELL",
"first_name": "BEVERLY",
"credential": "MS, RN, GCNS-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-12-05",
"last_updated": "2014-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "364SG0600X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Gerontology",
"state": "IL",
"license": "209004755",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Naperville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.