Angela Wivoda, CRTS

Primary specialty

Chore ProviderTaxonomy code 372500000X

Practice address

302 East Howard Street
Suite 310
Hibbing, MN 55746

Phone

(218) 208-2578

NPI assigned

Apr 7, 2014

Last updated

Apr 7, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1396828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396828800000",
    "number": "1467870485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 E HOWARD ST",
            "address_2": "SUITE 310",
            "city": "HIBBING",
            "state": "MN",
            "postal_code": "557461772",
            "telephone_number": "218-208-2578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 EAST HOWARD STREET",
            "address_2": "SUITE 310",
            "city": "HIBBING",
            "state": "MN",
            "postal_code": "55746",
            "telephone_number": "218-208-2578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIVODA",
        "first_name": "ANGELA",
        "credential": "CRTS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-07",
        "last_updated": "2014-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "372500000X",
            "taxonomy_group": "",
            "desc": "Chore Provider",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "171WH0202X",
            "taxonomy_group": "",
            "desc": "Contractor, Home Modifications",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Lynn Willard, RDH
• William Schwartau LLC
• Ernest Thomas Williams Jr., O.D.
• Paul Joseph Windberg, MD
• Melanie Lee Cicmil Winterfeldt, LGSW
• Tammy Lynn Word, APRN
• Lisa Lahti Wyland
• Tina Marie Yanez, QP
• Dimitriy Yevgenivich Yezhikov, DO
• Michael Zakula Jr., DDS

• Chore Provider in Hibbing, MN
• Providers in Hibbing, MN by specialty
• Chore Provider in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2014; 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.