Jana Michelle Widmyer, BSN, RN

Primary specialty

Pediatric Registered NurseTaxonomy code 163WP0200X

License

RN61079377 Issued in WA

Practice address

2208 NW Market St Ste 520
Seattle, WA 98107-4098

Phone

(206) 789-9054

Fax

(206) 781-9323

NPI assigned

Sep 23, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jana Michelle Peterson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing, Registered Nurse

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• New Care Concepts, Inc.

  • Home Health Agency
  • Seattle, WA
  • NPI 1366596587
  NPD (past)

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

{
    "created_epoch": "1663891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663891200000",
    "number": "1508589623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2208 NW MARKET ST STE 520",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981074098",
            "telephone_number": "206-789-9054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2208 NW MARKET ST STE 520",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981074098",
            "telephone_number": "206-789-9054",
            "fax_number": "206-781-9323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIDMYER",
        "first_name": "JANA",
        "middle_name": "MICHELLE",
        "credential": "BSN, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-23",
        "last_updated": "2022-09-23",
        "certification_date": "2022-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "WA",
            "license": "RN61079377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANA",
            "last_name": "PETERSON",
            "middle_name": "MICHELLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Karen S. Wickwire, PH.D.
• Roseann Widell, M.ED., BCBA, LBA
• Danielle J Widjaya
• Donovin Giavani Widmann, MD
• Ashley Widmer, MD
• Daniel Widner, LICSW
• Kendra Widner, DPT
• Susanne Wieand, RN
• Bryan Scott Wiebe, DC
• Megan Wiebelhaus, MA, LMHCA

• Pediatric Registered Nurse in Seattle, WA
• Providers in Seattle, WA by specialty
• Pediatric Registered Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2022; 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.