Individual provider Active NPI

Wyndi M Stevens-Hill, LPN

  • Licensed Practical Nurse
  • Caldwell, ID
National Provider Identifier
1417570359
Registry record updated May 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
53514 Issued in ID
Practice address
4521 Thomas Jefferson St
Caldwell, ID 83605-5100
Phone
(208) 454-4820
Fax
(208) 454-4859
NPI assigned
May 27, 2020
Last updated
May 27, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 53514 ID Primary

Addresses

Primary practice location

4521 Thomas Jefferson St
Caldwell, ID 83605-5100

Mailing address

14934 Midway Rd
Nampa, ID 83651-8147
Phone (360) 970-0805

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

LicenseStateTypeSpecialty
53514IDMDLicensed Practical Nurse

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1590537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590537600000",
    "number": "1417570359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14934 MIDWAY RD",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836518147",
            "telephone_number": "360-970-0805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4521 THOMAS JEFFERSON ST",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836055100",
            "telephone_number": "208-454-4820",
            "fax_number": "208-454-4859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENS-HILL",
        "first_name": "WYNDI",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-27",
        "last_updated": "2020-05-27",
        "certification_date": "2020-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "ID",
            "license": "53514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caldwell, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2020; 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.