Lisa Wheaton, RN

Primary specialty

Emergency Registered NurseTaxonomy code 163WE0003X

License

4704260397 Issued in MI

Practice address

70 Stafford LN
Delta, CO 81416-2282

Phone

(269) 757-1020

NPI assigned

Apr 27, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Mrs. Lisa Proebstel Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1367020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367020800000",
    "number": "1669816104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1963 SNEFFELS ST",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814016451",
            "telephone_number": "269-757-1020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 STAFFORD LN",
            "city": "DELTA",
            "state": "CO",
            "postal_code": "814162282",
            "telephone_number": "269-757-1020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHEATON",
        "first_name": "LISA",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-27",
        "last_updated": "2013-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "MI",
            "license": "4704260397",
            "primary": true
        },
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "WI",
            "license": "165123-030",
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "CO",
            "license": "RN0204139",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "PROEBSTEL",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Willyn Webb, LPC
• Hetta Welch, LMT
• Lloyd Dean Wenzel, DDS
• Lorri Lynn Wesson, MA, LPC
• Western Slope Innerchange
• Monica Whelan
• Alicia Whittemore
• Kaile Mystique Widner, MSW
• Andrea Wilhelm
• Cecil Clinton Wilhelm III, MT

• Emergency Registered Nurse in Delta, CO
• Providers in Delta, CO by specialty
• Emergency Registered Nurse in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2013; 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.