Active NPI
Linda M Wesp, N.P.
- Family Nurse Practitioner
- Glendale, WI
National Provider Identifier
1619087145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 337230
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 337230 | Other | NY | STATE 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Interoperability endpoints
- 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.