Erin Michelle Witte Fudge

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

713448 Issued in TX

Practice address

1025 N Austin St
Seguin, TX 78155-4517

Phone

(830) 379-1184

Fax

(830) 303-2314

NPI assigned

Aug 4, 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

Other names 1

• Erin Michelle Witte Former name

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Interoperability endpoints

• Direct secure messaging: erin.witte.fudge.1@15140.direct.athenahealth.com

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.

• Thomas Hays Raetzsch, M.D.

  • Family Medicine Physician
  • Seguin, TX
  • NPI 1629156765
  Medicare reassignment

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

{
    "created_epoch": "1249344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684800000000",
    "number": "1679704902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 N AUSTIN ST",
            "city": "SEGUIN",
            "state": "TX",
            "postal_code": "781554517",
            "telephone_number": "830-379-1184",
            "fax_number": "830-303-2314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 N AUSTIN ST",
            "city": "SEGUIN",
            "state": "TX",
            "postal_code": "781554517",
            "telephone_number": "830-379-1184",
            "fax_number": "830-303-2314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITTE FUDGE",
        "first_name": "ERIN",
        "middle_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-04",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "713448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIN",
            "last_name": "WITTE",
            "middle_name": "MICHELLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• John H. White, M.D.
• Lori L. Whitney, CRNA
• Nicholas Wilkens, PH.D., LPC, LMFT
• Carol Yvonne Williams, PH.D.,L.C.S.W.
• La'Shone Renee Wilson-Morise, OT
• Matthew Woelk, RD, LD
• Marilynn Womack, APRN,FNP-C
• Kellie Raye Wooten, D.C.
• Frank David Wright, M.D.
• Shawna K Wright, COTA

• Family Nurse Practitioner in Seguin, TX
• Providers in Seguin, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.