Jennifer Rebecca Wilde

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

60076186 Issued in WA

Practice address

24244 E Desmet Rd
Liberty Lake, WA 99019-7609

Phone

(208) 420-7078

NPI assigned

Nov 24, 2025

Last updated

Nov 24, 2025By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Wildecare Education

  • Emergency Registered Nurse
  • Liberty Lake, WA
  • NPI 1275495657
  NPD Authorized official

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

{
    "created_epoch": "1763942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763942400000",
    "number": "1578425955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24244 E DESMET RD",
            "city": "LIBERTY LAKE",
            "state": "WA",
            "postal_code": "990197609",
            "telephone_number": "208-420-7078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24244 E DESMET RD",
            "city": "LIBERTY LAKE",
            "state": "WA",
            "postal_code": "990197609",
            "telephone_number": "208-420-7078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILDE",
        "first_name": "JENNIFER",
        "middle_name": "REBECCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-11-24",
        "last_updated": "2025-11-24",
        "certification_date": "2025-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "60076186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alden Robert Webb, D.O.
• Well Life Compounding LLC (Well Life Liberty Lake Pharmacy)
• Dashiel Wham, NP
• Kimberly S White, D.C.
• Mark A Whitley, P.T.
• Wildecare Education
• Clint Wire, DDS, MS
• Jeffrey A Wirthlin, MD
• Wishblow Speech Therapy
• Womm Counseling LLC

• Registered Nurse in Liberty Lake, WA
• Providers in Liberty Lake, WA by specialty
• Registered Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2025; 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.