Active NPI
Edith Elizabeth Wise-Andrews, RTC
- Recreation Therapist
- Ukiah, CA
National Provider Identifier
1649328022
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Recreation Therapist
- License
- 2660-T
- Practice address
- 860 N Bush St
Ukiah, CA 95482-3919 - Phone
- (707) 463-4303
- NPI assigned
- Jan 8, 2007
- 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 |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Recreation Therapist | 225800000X | 2660-T | CA | Primary |
Addresses
Primary practice location
860 N Bush St
Ukiah, CA 95482-3919
Mailing address
2001 McClure Subdivision Rd
Ukiah, CA 95482-6113
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2660-T | Other | CA | RECREATION THERAPY CERTIF |
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 |
|---|---|---|---|
| 2660-T | CA | MD | Recreation Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| NPI 1588730642 | Past | Accepting new patients | |
| County of Mendocino | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Fort Bragg, CA
- NPI 1194853713
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1649328022",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2001 MCCLURE SUBDIVISION RD",
"city": "UKIAH",
"state": "CA",
"postal_code": "954826113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "860 N BUSH ST",
"city": "UKIAH",
"state": "CA",
"postal_code": "954823919",
"telephone_number": "707-463-4303"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WISE-ANDREWS",
"first_name": "EDITH",
"middle_name": "ELIZABETH",
"credential": "RTC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-08",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "225800000X",
"taxonomy_group": "",
"desc": "Recreation Therapist",
"state": "CA",
"license": "2660-T",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RECREATION THERAPY CERTIF",
"identifier": "2660-T",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ukiah, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.