Individual provider Active NPI

Beth Ann Wittmer, BSN RN

  • Oncology Registered Nurse
  • Sarasota, FL
National Provider Identifier
1538926092
Registry record updated Mar 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oncology Registered NurseTaxonomy code 163WX0200X
License
RN2553442 Issued in FL
Practice address
1963 Racimo Dr
Sarasota, FL 34240-9426
Phone
(941) 928-8372
NPI assigned
Mar 1, 2024
Last updated
Mar 1, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 1, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X RN2553442 FL
Nutrition Support Registered Nurse 163WN1003X RN2553442 FL
Oncology Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163WX0200X RN2553442 FL Primary

Addresses

Primary practice location

1963 Racimo Dr
Sarasota, FL 34240-9426

Mailing address

1963 Racimo Dr
Racimo Dr.
Sarasota, FL 34240-9426
Phone (941) 928-8372

Other practice location 1

3737 Bahia Vista St.
Unit 5
Sarasota, FL 34232
Phone (941) 928-8372

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, Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN2553442FLMDOncology Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1709251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709251200000",
    "number": "1538926092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1963 RACIMO DR",
            "address_2": "RACIMO DR.",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342409426",
            "telephone_number": "941-928-8372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1963 RACIMO DR",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342409426",
            "telephone_number": "941-928-8372"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3737 Bahia Vista St.",
            "address_2": "Unit 5",
            "address_purpose": "LOCATION",
            "city": "Sarasota",
            "state": "FL",
            "postal_code": "34232",
            "country_code": "US",
            "telephone_number": "941-928-8372",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WITTMER",
        "first_name": "BETH",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "BSN RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-01",
        "last_updated": "2024-03-01",
        "certification_date": "2024-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "FL",
            "license": "RN2553442",
            "primary": false
        },
        {
            "code": "163WN1003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Nutrition Support",
            "state": "FL",
            "license": "RN2553442",
            "primary": false
        },
        {
            "code": "163WX0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Oncology",
            "state": "FL",
            "license": "RN2553442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2024; 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.