Kenetra Wise

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN395268 Issued in OH

Practice address

6937 Kingswood Dr
Solon, OH 44139-4538

Phone

(216) 333-4547

NPI assigned

Dec 15, 2014

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": "1418601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418601600000",
    "number": "1417355074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6937 KINGSWOOD DR",
            "city": "SOLON",
            "state": "OH",
            "postal_code": "441394538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6937 KINGSWOOD DR",
            "city": "SOLON",
            "state": "OH",
            "postal_code": "441394538",
            "telephone_number": "216-333-4547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISE",
        "first_name": "KENETRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-15",
        "last_updated": "2014-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN395268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zinga Kafia Wilson
• Jenna L Wiltzer Karim, MS, RD, LD
• Tracy Lynn Winborn
• Anne Marie Winkelman, BCBA COBA
• Brenna Lynn Winno, MA, CCC-SLP
• Lawrence J Witmer, DO
• Victoria Wobser
• Women of Hope, Inc
• Women of Hope, Inc.
• Amy Wong, RN

• Registered Nurse in Solon, OH
• Providers in Solon, OH by specialty
• Registered Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2014; 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.