Individual provider Active NPI

Rebecca Wantiez

  • Licensed Practical Nurse
  • Altoona, PA
National Provider Identifier
1457837783
Registry record updated Jul 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
PN095068L Issued in PA
Practice address
500 E Chestnut Ave
Altoona, PA 16601-5215
Phone
(814) 946-5411
NPI assigned
Jul 19, 2018
Last updated
Jul 19, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2018

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 PN095068L PA Primary

Addresses

Primary practice location

500 E Chestnut Ave
Altoona, PA 16601-5215

Mailing address

670 Wess Rd
Mineral Point, PA 15942-5207

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
PN095068LPAMDLicensed Practical Nurse

Interoperability endpoints

  • Direct secure messaging: rebecca.wantiez@upmcdirect.com

NPI Registry JSON

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

{
    "created_epoch": "1531958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531958400000",
    "number": "1457837783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "670 WESS RD",
            "city": "MINERAL POINT",
            "state": "PA",
            "postal_code": "159425207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 E CHESTNUT AVE",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166015215",
            "telephone_number": "814-946-5411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANTIEZ",
        "first_name": "REBECCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-19",
        "last_updated": "2018-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "PA",
            "license": "PN095068L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altoona, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2018; 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.