Active NPI
Katherine Ann Wendel, LPN
- Licensed Practical Nurse
- Warsaw, MO
National Provider Identifier
1639578966
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- .051738
- Practice address
- 17571 N Dam Access Rd
Warsaw, MO 65355-6396 - Phone
- (660) 428-1280
- Fax
- (660) 428-1283
- NPI assigned
- Aug 22, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | .051738 | MO | Primary |
Addresses
Primary practice location
17571 N Dam Access Rd
Warsaw, MO 65355-6396
Mailing address
18543 Blossom Rd
Warsaw, MO 65355-6011
Phone (660) 438-6734
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
| License | State | Type | Specialty |
|---|---|---|---|
| .051738 | MO | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408665600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1408665600000",
"number": "1639578966",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18543 BLOSSOM RD",
"city": "WARSAW",
"state": "MO",
"postal_code": "653556011",
"telephone_number": "660-438-6734",
"fax_number": "660-428-1283"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17571 N DAM ACCESS RD",
"city": "WARSAW",
"state": "MO",
"postal_code": "653556396",
"telephone_number": "660-428-1280",
"fax_number": "660-428-1283"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WENDEL",
"first_name": "KATHERINE",
"middle_name": "ANN",
"credential": "LPN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-08-22",
"last_updated": "2014-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "MO",
"license": ".051738",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Warsaw, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.