Individual provider Active NPI

Wendy A Chouteau, RN, CNP

  • Family Nurse Practitioner
  • Cincinnati, OH
National Provider Identifier
1467763045
Registry record updated Nov 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
COA.11803-NP Issued in OH
Practice address
3333 Burnet Ave., ML 11006
Cincinnati Children'S Hospital
Cincinnati, OH 45229-3026
Phone
(513) 636-4991
Fax
(513) 636-3980
NPI assigned
Jun 29, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X COA.11803-NP OH Primary

Addresses

Primary practice location

3333 Burnet Ave., ML 11006
Cincinnati Children'S Hospital
Cincinnati, OH 45229-3026

Mailing address

3333 Burnet Ave., ML 5021
Cincinnati Children'S Hospital
Cincinnati, OH 45229
Phone (513) 636-4225

Other names 1

  • Wendy A Bommer Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1277769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574380800000",
    "number": "1467763045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 BURNET AVE., ML 5021",
            "address_2": "CINCINNATI CHILDREN'S HOSPITAL",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "45229",
            "telephone_number": "513-636-4225",
            "fax_number": "513-636-2511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 BURNET AVE., ML 11006",
            "address_2": "CINCINNATI CHILDREN'S HOSPITAL",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452293026",
            "telephone_number": "513-636-4991",
            "fax_number": "513-636-3980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOUTEAU",
        "first_name": "WENDY",
        "middle_name": "A",
        "credential": "RN, CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-29",
        "last_updated": "2019-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COA.11803-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WENDY",
            "last_name": "BOMMER",
            "middle_name": "A",
            "credential": "RN, CNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.