Individual provider Active NPI

Linda M Wesp, N.P.

  • Family Nurse Practitioner
  • Glendale, WI
National Provider Identifier
1619087145
Registry record updated Sep 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
337230 Issued in NY
Practice address
4655 N Port Washington Rd
Ste 325
Glendale, WI 53212-1000
Phone
(414) 269-8282
Fax
(414) 269-8280
NPI assigned
Aug 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 6596-33 WI
Family Nurse Practitioner 363LF0000X 337230 NY Primary

Addresses

Primary practice location

4655 N Port Washington Rd
Ste 325
Glendale, WI 53212-1000

Mailing address

4655 N Port Washington Rd Ste 325
Glendale, WI 53212-1000
Phone (414) 999-1099

Other identifiers 1

IdentifierTypeStateIssuer
337230OtherNYSTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: linda.wesp.1@22378.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599091200000",
    "number": "1619087145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4655 N PORT WASHINGTON RD STE 325",
            "city": "GLENDALE",
            "state": "WI",
            "postal_code": "532121000",
            "telephone_number": "414-999-1099",
            "fax_number": "414-999-0699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4655 N PORT WASHINGTON RD",
            "address_2": "STE 325",
            "city": "GLENDALE",
            "state": "WI",
            "postal_code": "532121000",
            "telephone_number": "414-269-8282",
            "fax_number": "414-269-8280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WESP",
        "first_name": "LINDA",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2020-09-03",
        "certification_date": "2020-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "6596-33",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "337230",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "337230",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, WI

Sources for this page

Verify at the official NPI Registry.