Active NPI
Betty Ann Wright, OTR/L
- Health Maintenance Organization
- Red Wing, MN
National Provider Identifier
1437325966
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Maintenance Organization
- License
- 3770-026
- Practice address
- 1412 W 4TH Street
Red Wing Health Care Center
Red Wing, MN 55066-2180 - Phone
- (651) 388-2843
- Fax
- (651) 267-0023
- NPI assigned
- May 5, 2008
- Last updated
- May 8, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Health Maintenance Organization | 302R00000X | 3770-026 | WI | Primary |
Addresses
Primary practice location
1412 W 4TH Street
Red Wing Health Care Center
Red Wing, MN 55066-2180
Mailing address
1412 W 4TH Street
Red Wing Health Care Center
Red Wing, MN 55066-2180
Phone (651) 388-2843
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 41049700 | Medicaid | WI |
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 |
|---|---|---|---|
| 3770-026 | WI | MD | Health Maintenance Organization |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210204800000",
"number": "1437325966",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1412 W 4TH STREET",
"address_2": "RED WING HEALTH CARE CENTER",
"city": "RED WING",
"state": "MN",
"postal_code": "550662180",
"telephone_number": "651-388-2843",
"fax_number": "651-267-0023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1412 W 4TH STREET",
"address_2": "RED WING HEALTH CARE CENTER",
"city": "RED WING",
"state": "MN",
"postal_code": "550662180",
"telephone_number": "651-388-2843",
"fax_number": "651-267-0023"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WRIGHT",
"first_name": "BETTY",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-05-05",
"last_updated": "2008-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "302R00000X",
"taxonomy_group": "",
"desc": "Health Maintenance Organization",
"state": "WI",
"license": "3770-026",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "41049700",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Red Wing, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.