Eleanor Renee Wise, AAS

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

4525 S Sandhill Rd Ste 103
Las Vegas, NV 89121-5955

Phone

(702) 741-1938

Fax

(702) 778-5283

NPI assigned

Sep 6, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Associate of Applied Science

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

{
    "created_epoch": "1189036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481587200000",
    "number": "1689869307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3950 TIMBERLAKE DRIVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89115",
            "telephone_number": "919-696-5857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4525 S SANDHILL RD STE 103",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891215955",
            "telephone_number": "702-741-1938",
            "fax_number": "702-778-5283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISE",
        "first_name": "ELEANOR",
        "middle_name": "RENEE",
        "credential": "AAS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-06",
        "last_updated": "2016-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Lyn Wise, ARPN-CNP, PMHNP-BC
• Brigham Jeffrey Wise, MD
• Brinton Wise, DO, MPH
• Danny Bryan Wise
• Derek Wise, MA, LCPC
• Janetta Carol Wise
• John Wise
• Jonathan William Wise, D.C.
• Luann Wise
• Marion Wise

• Counselor in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Counselor in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2016; 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.