Linda Jean Wientjes, ACNS

Primary specialty

Adult Health Clinical Nurse SpecialistTaxonomy code 364SA2200X

License

CNS-00213 Issued in NM

Practice address

2450 S Telshor Blvd
Las Cruces, NM 88011-5069

Phone

(575) 556-5902

Fax

(575) 521-5033

NPI assigned

Aug 14, 2009

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1250208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402963200000",
    "number": "1639301245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 S. TELSHORE BLVD.",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880115076",
            "telephone_number": "575-556-5902",
            "fax_number": "575-521-5033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 S TELSHOR BLVD",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880115069",
            "telephone_number": "575-556-5902",
            "fax_number": "575-521-5033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIENTJES",
        "first_name": "LINDA",
        "middle_name": "JEAN",
        "credential": "ACNS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-14",
        "last_updated": "2014-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SA2200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "NM",
            "license": "CNS-00213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dolli Michelle Whitty, MA, CCC-SLP
• Shawn Alexander Whitty, NCSP, LPCC
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• Wide Open Counseling LLC
• Serena Widmar
• Jeanna Marie Wigger, MS CCC-SLP
• Nathan Andrew Wigner, MD
• Randall Dean Wilcox, LAB DIRECTOR
• Daniel George Wilczak, DC, MSR
• Andrew Mark Wilke, M.D.

• Adult Health Clinical Nurse Specialist in Las Cruces, NM
• Providers in Las Cruces, NM by specialty
• Adult Health Clinical Nurse Specialist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2014; 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.