Active NPI
Linda Wilmer, CMT
- Specialist
- Stephens City, VA
National Provider Identifier
1376567537
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 0019004169
- Practice address
- 122G Agape Way
Stephens City, VA 22655-2211 - Phone
- (540) 868-0288
- NPI assigned
- Jul 27, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Specialist | 174400000X | 0019004169 | VA | Primary |
Addresses
Primary practice location
122G Agape Way
Stephens City, VA 22655-2211
Mailing address
125 Rosedale Dr
Stephens City, VA 22655-2343
Phone (540) 869-4097
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0019004169 | VA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1376567537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 ROSEDALE DR",
"city": "STEPHENS CITY",
"state": "VA",
"postal_code": "226552343",
"telephone_number": "540-869-4097"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "122G AGAPE WAY",
"city": "STEPHENS CITY",
"state": "VA",
"postal_code": "226552211",
"telephone_number": "540-868-0288"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILMER",
"first_name": "LINDA",
"credential": "CMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "VA",
"license": "0019004169",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stephens City, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.