Dana Lynn Wolucka, BSN, MSN/FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

17869 Issued in CA

Practice address

717 Bridge St
Colusa, CA 95932-2851

Phone

(530) 458-2300

Fax

(530) 458-5558

NPI assigned

Mar 14, 2008

Last updated

Feb 9, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Bachelor on Science - Nursing, Master of Science - Nursing

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Riverside Health Clinic of Colusa

  • Internal Medicine Physician
  • Colusa, CA
  • NPI 1710172242
  Medicare reassignment NPD
• Colusa Regional Medical Center

  • Rural Health Clinic/Center
  • Colusa, CA
  • NPI 1245361799
  NPD (past)

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

{
    "created_epoch": "1205452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486598400000",
    "number": "1619148905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 BRIDGE ST",
            "city": "COLUSA",
            "state": "CA",
            "postal_code": "959322851",
            "telephone_number": "530-458-2300",
            "fax_number": "530-458-5558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 BRIDGE ST",
            "city": "COLUSA",
            "state": "CA",
            "postal_code": "959322851",
            "telephone_number": "530-458-2300",
            "fax_number": "530-458-5558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLUCKA",
        "first_name": "DANA",
        "middle_name": "LYNN",
        "credential": "BSN, MSN/FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-14",
        "last_updated": "2017-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "17869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Western Physical Therapy, Inc. (Colusa Physical Therapy)
• Lynn Whiting
• Katy Whitt
• John L Willis, DDS
• Alvaro James Elliott Windsor
• Lois J Wood

• Nurse Practitioner in Colusa, CA
• Providers in Colusa, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2017; 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.

Verify at the official NPI Registry.