Active NPI
Wanda J Bueno, LPN
- Licensed Practical Nurse
- Bronx, NY
National Provider Identifier
1386294247
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 3319513-1
- Practice address
- 530 E 169TH St Apt 7D
Bronx, NY 10456-2667 - Phone
- (646) 919-4296
- NPI assigned
- Sep 12, 2019
- 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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 3319513-1 | NY | Primary |
Addresses
Primary practice location
530 E 169TH St Apt 7D
Bronx, NY 10456-2667
Mailing address
530 E 169TH St
Bronx, NY 10456-2616
Phone (646) 919-4296
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 112215 | Medicaid | NY |
Other names 1
- Wanda J Bueno
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Whiteglove | Health Information Exchange (HIE) | |
| Other URL | Wanda17bueno | Health Information Exchange (HIE) |
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 |
|---|---|---|---|
| 3319513-1 | NY | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568246400000",
"number": "1386294247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "530 E 169TH ST",
"city": "BRONX",
"state": "NY",
"postal_code": "104562616",
"telephone_number": "646-919-4296"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "530 E 169TH ST APT 7D",
"city": "BRONX",
"state": "NY",
"postal_code": "104562667",
"telephone_number": "646-919-4296"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUENO",
"first_name": "WANDA",
"middle_name": "J",
"credential": "LPN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-12",
"last_updated": "2019-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "NY",
"license": "3319513-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "112215",
"state": "NY"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Whiteglove",
"affiliation": "N",
"endpointDescription": "Whiteglove",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "530 E 169th St Apt 7D",
"city": "Bronx",
"state": "NY",
"country_code": "US",
"postal_code": "104562667",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Wanda17bueno",
"affiliation": "N",
"endpointDescription": "Wanda17bueno",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "530 E 169th St Apt 7D",
"city": "Bronx",
"state": "NY",
"country_code": "US",
"postal_code": "104562667",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "WANDA",
"last_name": "BUENO",
"middle_name": "J",
"credential": "LPN",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.