Individual provider Active NPI

Laura Anne Wiegers, R.N.

  • Registered Nurse
  • Bishop, CA
National Provider Identifier
1609255199
Registry record updated May 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
789736 Issued in CA
Practice address
162 Grove St Ste J
Bishop, CA 93514-2652
Phone
(760) 872-2591
Fax
(760) 872-1749
NPI assigned
May 29, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 789736 CA Primary

Addresses

Primary practice location

162 Grove St Ste J
Bishop, CA 93514-2652

Mailing address

162 Grove St Ste J
Bishop, CA 93514-2652
Phone (760) 873-2591

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

LicenseStateTypeSpecialty
789736CAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1432857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432857600000",
    "number": "1609255199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "162 GROVE ST STE J",
            "city": "BISHOP",
            "state": "CA",
            "postal_code": "935142652",
            "telephone_number": "760-873-2591",
            "fax_number": "760-873-3277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "162 GROVE ST STE J",
            "city": "BISHOP",
            "state": "CA",
            "postal_code": "935142652",
            "telephone_number": "760-872-2591",
            "fax_number": "760-872-1749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIEGERS",
        "first_name": "LAURA",
        "middle_name": "ANNE",
        "credential": "R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-29",
        "last_updated": "2015-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "789736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bishop, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2015; 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.