Barbara Wiedmayer

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

4704155842 Issued in MI

Practice address

524 W Centre Ave
Portage, MI 49024-5306

Phone

(269) 324-1180

NPI assigned

Jun 7, 2018

Sex

Female

Sole proprietor

No

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": "1528329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528329600000",
    "number": "1386137198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 WAITE AVE",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490081717",
            "telephone_number": "269-615-1572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 W CENTRE AVE",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490245306",
            "telephone_number": "269-324-1180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIEDMAYER",
        "first_name": "BARBARA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-07",
        "last_updated": "2018-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704155842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Todd J White, DO
• Nicole Whitelow
• Chitradevi CC Widen, LMFT; LPC
• Jeffrey Edward Wiederhold, D.C.
• Sandra Wiederhold, MD
• Shirani Damayanthi Wijay-Samarasinha, M.D.
• Kim Wikel
• Chloe Wilcox
• Kari Wilcox, M.A., LPC/LLP
• Barton William Wild, MD

• Registered Nurse in Portage, MI
• Providers in Portage, MI by specialty
• Registered Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2018; 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.