Active NPI
Kaitlin Wendt, NP
- Nurse Practitioner
- Coeur D Alene, ID
National Provider Identifier
1568012102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 63035
- Practice address
- 2003 Kootenai Health Way
Coeur D Alene, ID 83814-6051 - Phone
- (208) 625-6900
- Fax
- (208) 625-6910
- NPI assigned
- Sep 16, 2019
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 63035 | ID | Primary |
Addresses
Primary practice location
2003 Kootenai Health Way
Coeur D Alene, ID 83814-6051
Mailing address
2003 Kootenai Health Way
Coeur D Alene, ID 83814-6051
Phone (208) 625-6900
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)
- Enrolled
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568592000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594857600000",
"number": "1568012102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2003 KOOTENAI HEALTH WAY",
"city": "COEUR D ALENE",
"state": "ID",
"postal_code": "838146051",
"telephone_number": "208-625-6900",
"fax_number": "208-625-6910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2003 KOOTENAI HEALTH WAY",
"city": "COEUR D ALENE",
"state": "ID",
"postal_code": "838146051",
"telephone_number": "208-625-6900",
"fax_number": "208-625-6910"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WENDT",
"first_name": "KAITLIN",
"name_prefix": "Mrs.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-16",
"last_updated": "2020-07-16",
"certification_date": "2020-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "ID",
"license": "63035",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Coeur D Alene, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.