Individual provider Active NPI

Jeanette Wohlfert, LPN

  • Licensed Vocational Nurse
  • El Paso, TX
National Provider Identifier
1578079943
Registry record updated Dec 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Vocational NurseTaxonomy code 164X00000X
License
340978 Issued in TX
Practice address
1390 George Dieter Dr Ste 140
El Paso, TX 79936-7430
Phone
(915) 320-1390
NPI assigned
Dec 21, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational Nurse 164X00000X 340978 TX Primary
Licensed Practical Nurse 164W00000X L20579 NM

Addresses

Primary practice location

1390 George Dieter Dr Ste 140
El Paso, TX 79936-7430

Mailing address

1390 George Dieter Dr Ste 140
El Paso, TX 79936-7430
Phone (915) 320-1390

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

State licenses

LicenseStateTypeSpecialty
L20579NMMDLicensed Practical Nurse
340978TXMDLicensed Vocational Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Family Endeavors, Inc PastSince Mar 28, 2021 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1513814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513814400000",
    "number": "1578079943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1390 GEORGE DIETER DR STE 140",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799367430",
            "telephone_number": "915-320-1390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1390 GEORGE DIETER DR STE 140",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799367430",
            "telephone_number": "915-320-1390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOHLFERT",
        "first_name": "JEANETTE",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-21",
        "last_updated": "2017-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "TX",
            "license": "340978",
            "primary": true
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NM",
            "license": "L20579",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2017; 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.