Jessica Nicole Wingard, RN, LDMT

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

305925 Issued in NY

Practice address

393 Cornwall Ave
Buffalo, NY 14215-3101

Phone

(716) 380-2359

NPI assigned

Aug 5, 2016

Sex

Female

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)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1470355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601942400000",
    "number": "1376097485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1151",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142156151",
            "telephone_number": "716-380-2359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "393 CORNWALL AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142153101",
            "telephone_number": "716-380-2359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINGARD",
        "first_name": "JESSICA",
        "middle_name": "NICOLE",
        "name_prefix": "Ms.",
        "credential": "RN,  LDMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-05",
        "last_updated": "2020-10-06",
        "certification_date": "2020-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "772153",
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "305925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Geoffrey Winfield, M.B., B.CH., B.A.O.
• Courtne Lawanda Janate Winfrey-Long, LPN
• Christine Wing
• Joseph Francis Wing, DO
• Michael Paul Wing, RPA-C
• Winkelman Mental Health Counseling PLLC
• Khadijah Winkelman, MHC-P
• Peter Winkelstein, MD
• Sarah Winkle, PHARMD
• Carol Winkler

• Licensed Practical Nurse in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2020; 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.