Cardinal Elements Inc

Primary specialty

Community Health/Public Health Clinical Nurse SpecialistTaxonomy code 364SC1501X

License

28088637A Issued in IN

Legal business name

CARDINAL ELEMENTS INC

Doing business as

Mary Ann Wietbrock, CNS

Practice address

4108 W 400 S
New Palestine, IN 46163-9612

Phone

(317) 410-9140

NPI assigned

Aug 2, 2014

Last updated

Aug 26, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mary Ann Wietbrock, RN MSN CNSNPI 1336551175

Title

Clinical Nurse Specialist

Phone

(317) 410-9140

Specialties & licenses 9

Addresses

Other names 1

• Mary Ann Wietbrock, CNS Doing business as

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mary Ann Wietbrock, RN MSN ACNS-BC

  • Clinical Nurse Specialist
  • Cumberland, IN
  • NPI 1336551175

  Multi-Specialty

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1406937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409011200000",
    "number": "1659780708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4108 W 400 S",
            "city": "NEW PALESTINE",
            "state": "IN",
            "postal_code": "461639612",
            "telephone_number": "317-410-9140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4108 W 400 S",
            "city": "NEW PALESTINE",
            "state": "IN",
            "postal_code": "461639612",
            "telephone_number": "317-410-9140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDINAL ELEMENTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-02",
        "last_updated": "2014-08-26",
        "status": "A",
        "authorized_official_last_name": "WIETBROCK",
        "authorized_official_first_name": "MARY ANN",
        "authorized_official_title_or_position": "CLINICAL NURSE SPECIALIST",
        "authorized_official_telephone_number": "317-410-9140",
        "authorized_official_credential": "RN MSN CNS"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Registered Nurse, Community Health",
            "state": "IN",
            "license": "28088637A",
            "primary": false
        },
        {
            "code": "364S00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist",
            "state": "IN",
            "license": "28088637A",
            "primary": false
        },
        {
            "code": "364SC1501X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist, Community Health/Public Health",
            "state": "IN",
            "license": "28088637A",
            "primary": true
        },
        {
            "code": "364SC2300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist, Chronic Care",
            "state": "IN",
            "license": "28088637A",
            "primary": false
        },
        {
            "code": "364SH0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist, Home Health",
            "state": "IN",
            "license": "28088637A",
            "primary": false
        },
        {
            "code": "364SH1100X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist, Holistic",
            "state": "IN",
            "license": "28088637A",
            "primary": false
        },
        {
            "code": "364SM0705X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist, Medical-Surgical",
            "state": "IN",
            "license": "28088637A",
            "primary": false
        },
        {
            "code": "364SS0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist, School",
            "state": "IN",
            "license": "28088637A",
            "primary": false
        },
        {
            "code": "364SX0106X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist, Occupational Health",
            "state": "IN",
            "license": "28088637A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mary Ann Wietbrock, CNS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinical Nurse Specialist in New Palestine, IN
• Providers in New Palestine, IN by specialty
• Clinical Nurse Specialist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.