Sandra Louise Wheatley, HOME CARE PRIVIDER

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

2313115 Issued in OH

Practice address

469 Perry Road
469 Perry Road
Tallmadge, OH 44278-3223

Phone

(330) 733-4961

Fax

(330) 733-4961

NPI assigned

May 1, 2007

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": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467673095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "469 PERRY ROAD",
            "city": "TALLMADGE",
            "state": "OH",
            "postal_code": "442783223",
            "telephone_number": "330-733-4961",
            "fax_number": "330-733-4961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "469 PERRY ROAD",
            "address_2": "469 PERRY ROAD",
            "city": "TALLMADGE",
            "state": "OH",
            "postal_code": "442783223",
            "telephone_number": "330-733-4961",
            "fax_number": "330-733-4961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHEATLEY",
        "first_name": "SANDRA",
        "middle_name": "LOUISE",
        "name_prefix": "Mrs.",
        "credential": "HOME CARE PRIVIDER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "OH",
            "license": "2313115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Student in an Organized Health Care Education/Training Program in Tallmadge, OH
• Providers in Tallmadge, OH by specialty
• Student in an Organized Health Care Education/Training Program in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.