Wendy Michelle Wisner, IBCLC

Primary specialty

Lactation Consultant (Non-RN)Taxonomy code 174N00000X

License

11295549 Issued in NY

Practice address

4714 217TH St
2A
Bayside, NY 11361-3501

Phone

(718) 224-1433

NPI assigned

Nov 21, 2012

Last updated

Nov 21, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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": "1353456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353456000000",
    "number": "1386988863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4714 217TH ST",
            "address_2": "2A",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113613501",
            "telephone_number": "718-224-1433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4714 217TH ST",
            "address_2": "2A",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113613501",
            "telephone_number": "718-224-1433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISNER",
        "first_name": "WENDY",
        "middle_name": "MICHELLE",
        "name_prefix": "Ms.",
        "credential": "IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-21",
        "last_updated": "2012-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "NY",
            "license": "11295549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shernette Williams Sawyer
• Cyannie Williams
• Shamel Supreme Williams
• Lois Marie Williamson, RN
• Tamara Michelle Wills, MS OTR/L
• Dena Witkin, MSDE
• Nicole Janine Wojno, PT
• Stacy Wolf, DDS
• Won Sohn, M.D.,P.C.
• Allyson Y Won, DDS

• Lactation Consultant (Non-RN) in Bayside, NY
• Providers in Bayside, NY by specialty
• Lactation Consultant (Non-RN) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2012; 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.