Active NPI
Kelly Jo Wenzel, REGISTERED NURSE
- Registered Nurse
- Winona, MN
National Provider Identifier
1447508346
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- R139786-4
- Practice address
- 166 Main St
Winona, MN 55987-3405 - Phone
- (507) 454-4341
- Fax
- (507) 453-6267
- NPI assigned
- Aug 27, 2012
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | R139786-4 | MN | Primary |
Addresses
Primary practice location
166 Main St
Winona, MN 55987-3405
Mailing address
166 Main St
Winona, MN 55987-3405
Phone (507) 454-4341
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 |
|---|---|---|---|
| R139786-4 | MN | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346025600000",
"number": "1447508346",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "166 MAIN ST",
"city": "WINONA",
"state": "MN",
"postal_code": "559873405",
"telephone_number": "507-454-4341",
"fax_number": "507-453-6267"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "166 MAIN ST",
"city": "WINONA",
"state": "MN",
"postal_code": "559873405",
"telephone_number": "507-454-4341",
"fax_number": "507-453-6267"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WENZEL",
"first_name": "KELLY",
"middle_name": "JO",
"credential": "REGISTERED NURSE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-27",
"last_updated": "2012-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MN",
"license": "R139786-4",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winona, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.