Individual provider Active NPI

Wendy S Fiddler, REGISTERED NURSE

  • Home Health Registered Nurse
  • Mt Pleasant, SC
National Provider Identifier
1629583554
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
232878 Issued in SC
Practice address
1092 Johnnie Dodds Blvd Ste 112
Mt Pleasant, SC 29464-6192
Phone
(843) 353-2280
Fax
(843) 353-2280
NPI assigned
Dec 14, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X 232878 SC Primary

Addresses

Primary practice location

1092 Johnnie Dodds Blvd Ste 112
Mt Pleasant, SC 29464-6192

Mailing address

106 Stoneybrea CT
Goose Creek, SC 29445-7034
Phone (443) 622-7998

Other practice location 1

645 Rodi Rd
Pittsburgh, PA 15235-4564
Phone (843) 353-2280

Other practice location 2

645 Rodi Rd
Pittsburgh, PA 15235-4564
Phone (843) 353-2280

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

State licenses

LicenseStateTypeSpecialty
232878SCMDHome Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1513209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1629583554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 STONEYBREA CT",
            "city": "GOOSE CREEK",
            "state": "SC",
            "postal_code": "294457034",
            "telephone_number": "443-622-7998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1092 JOHNNIE DODDS BLVD STE 112",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294646192",
            "telephone_number": "843-353-2280",
            "fax_number": "843-353-2280"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "645 Rodi Rd",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152354564",
            "country_code": "US",
            "telephone_number": "843-353-2280",
            "fax_number": "843-606-6368",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "645 Rodi Rd",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152354564",
            "country_code": "US",
            "telephone_number": "843-353-2280",
            "fax_number": "843-606-6368",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FIDDLER",
        "first_name": "WENDY",
        "middle_name": "S",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-14",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "SC",
            "license": "232878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Pleasant, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.