NPIMap

Organization Active NPI

Wellness Nursing's Way, Inc.

  • Primary Care Clinic/Center
  • Silver Lake, OR
National Provider Identifier
1467848978
Registry record updated Sep 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
078041667N1 Issued in OR
Legal business name
WELLNESS NURSING'S WAY, INC.
Practice address
85955 Raven Ridge LN
Silver Lake, OR 97638-9627
Phone
(541) 576-3070
Fax
(541) 576-3070
NPI assigned
Apr 10, 2015
Last updated
Sep 14, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2015

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

Authorized official

Name
Patricia D Widenoja, DNP, FNPNPI 1235110628
Title
President
Phone
(541) 576-3070

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 078041667N1 OR Primary

Addresses

Primary practice location

85955 Raven Ridge LN
Silver Lake, OR 97638-9627

Mailing address

85955 Raven Ridge LN
Silver Lake, OR 97638-9627
Phone (541) 576-3070

Other identifiers 1

IdentifierTypeStateIssuer
051750MedicaidOR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1428624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442188800000",
    "number": "1467848978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85955 RAVEN RIDGE LN",
            "city": "SILVER LAKE",
            "state": "OR",
            "postal_code": "976389627",
            "telephone_number": "541-576-3070",
            "fax_number": "541-576-3070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85955 RAVEN RIDGE LN",
            "city": "SILVER LAKE",
            "state": "OR",
            "postal_code": "976389627",
            "telephone_number": "541-576-3070",
            "fax_number": "541-576-3070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS NURSING'S WAY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-10",
        "last_updated": "2015-09-14",
        "status": "A",
        "authorized_official_last_name": "WIDENOJA",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "541-576-3070",
        "authorized_official_credential": "DNP, FNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "OR",
            "license": "078041667N1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051750",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Lake, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2015; 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.