Active NPI
Leah Rose Wiegand, LPN
- Licensed Practical Nurse
- Sturgeon Bay, WI
National Provider Identifier
1609023084
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 306128-031
- Practice address
- 925 S. Oxford Ave
Apt 142
Sturgeon Bay, WI 54235 - Phone
- (920) 210-9464
- NPI assigned
- Aug 27, 2008
- 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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 306128-031 | WI | Primary |
Addresses
Primary practice location
925 S. Oxford Ave
Apt 142
Sturgeon Bay, WI 54235
Mailing address
925 S. Oxford Ave
Apt 142
Sturgeon Bay, WI 54235
Phone (920) 210-9464
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
| License | State | Type | Specialty |
|---|---|---|---|
| 306128-031 | WI | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219795200000",
"number": "1609023084",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "925 S. OXFORD AVE",
"address_2": "APT 142",
"city": "STURGEON BAY",
"state": "WI",
"postal_code": "54235",
"telephone_number": "920-210-9464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "925 S. OXFORD AVE",
"address_2": "APT 142",
"city": "STURGEON BAY",
"state": "WI",
"postal_code": "54235",
"telephone_number": "920-210-9464"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIEGAND",
"first_name": "LEAH",
"middle_name": "ROSE",
"name_prefix": "Mrs.",
"credential": "LPN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-27",
"last_updated": "2008-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "WI",
"license": "306128-031",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sturgeon Bay, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.