Active NPI
Sandra Ann Wheller, RN BSN MA
- Registered Nurse
- West Warwick, RI
National Provider Identifier
1477659795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN25771
- Practice address
- Kent Center MTT 2
West Warwick, RI 02893 - Phone
- (401) 738-7380
- Fax
- (401) 737-2610
- NPI assigned
- Sep 15, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN25771 | RI | Primary |
Addresses
Primary practice location
Kent Center MTT 2
West Warwick, RI 02893
Mailing address
22 Plantation Drive
Saunderstown, RI 02874
Phone (401) 295-1701
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SW58954 | Medicaid | RI |
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
- Credentials
- Bachelor on Science - Nursing, Master of Arts, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN25771 | RI | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1477659795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 PLANTATION DRIVE",
"city": "SAUNDERSTOWN",
"state": "RI",
"postal_code": "02874",
"telephone_number": "401-295-1701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "KENT CENTER MTT 2",
"city": "WEST WARWICK",
"state": "RI",
"postal_code": "02893",
"telephone_number": "401-738-7380",
"fax_number": "401-737-2610"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHELLER",
"first_name": "SANDRA",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "RN BSN MA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "RI",
"license": "RN25771",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "SW58954",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}Other providers in West Warwick, RI
Sources for this page
- 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.