Wendy Lynn Vitagliano

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

APRN.CNP.0029097 Issued in OH

Practice address

2600 Tuscarawas St W Ste 160
Canton, OH 44708-4696

Phone

(330) 454-9126

Fax

(330) 454-9470

NPI assigned

Jul 8, 2021

Last updated

Jul 8, 2021By the provider in NPPES

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

• Wendy Lynn Reiter Former name

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Renal Consultant's, Inc

  • Nephrology Physician
  • Canton, OH
  • NPI 1770525289
  NPD

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

{
    "created_epoch": "1625702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625702400000",
    "number": "1699346817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9570 CORDOVA RD SW",
            "city": "BOWERSTON",
            "state": "OH",
            "postal_code": "446959671",
            "telephone_number": "740-269-3134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 TUSCARAWAS ST W STE 160",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447084696",
            "telephone_number": "330-454-9126",
            "fax_number": "330-454-9470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VITAGLIANO",
        "first_name": "WENDY",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-08",
        "last_updated": "2021-07-08",
        "certification_date": "2021-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.0029097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Renalcons@ameritech.net",
            "affiliation": "N",
            "endpointDescription": "Email office",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Provider email",
            "address_1": "2600 Tuscarawas St W Ste 160",
            "city": "Canton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "447084696",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Renalcons@ameritech.net",
            "affiliation": "N",
            "endpointDescription": "Provider email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2600 Tuscarawas St W Ste 160",
            "city": "Canton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "447084696",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "WENDY",
            "last_name": "REITER",
            "middle_name": "LYNN",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Vishnu Sai LLC
• Visionworks, Inc. (Visionworks)
• Melissa S Visnick, LPN
• Vista Blue Health and Wellness
• Vista Psychological & Counseling Centre LLC
• Rebecca Vitale
• Vitality Med LLC (Vitality Med)
• Vitality Physical Therapy LLC
• Vitreo-Retinal Consultants, Inc.
• Quintessa Vizzini

• Nurse Practitioner in Canton, OH
• Providers in Canton, OH by specialty
• Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2021; 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.