Active NPI
Terry Lynn Wiart, RN
- School Registered Nurse
- Queensbury, NY
National Provider Identifier
1609185115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Registered Nurse
- License
- 461328-1
- Practice address
- 429 Aviation Rd
Queensbury, NY 12804-2914 - Phone
- (518) 824-5699
- NPI assigned
- Sep 30, 2010
- 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 |
|---|---|---|---|---|
| School Registered Nurse | 163WS0200X | 461328-1 | NY | Primary |
Addresses
Primary practice location
429 Aviation Rd
Queensbury, NY 12804-2914
Mailing address
41 Fox Hollow LN
Queensbury, NY 12804-1144
Phone (518) 745-7670
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
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 461328-1 | NY | MD | School Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1285804800000",
"number": "1609185115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41 FOX HOLLOW LN",
"city": "QUEENSBURY",
"state": "NY",
"postal_code": "128041144",
"telephone_number": "518-745-7670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "429 AVIATION RD",
"city": "QUEENSBURY",
"state": "NY",
"postal_code": "128042914",
"telephone_number": "518-824-5699"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIART",
"first_name": "TERRY",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-30",
"last_updated": "2010-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "163WS0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, School",
"state": "NY",
"license": "461328-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Queensbury, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.