Active NPI
Aisha Lynn Wheeler, FNP
- Family Nurse Practitioner
- Lewiston, ID
National Provider Identifier
1699462796
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 62125
- Practice address
- 1331 G St
Lewiston, ID 83501-1964 - Phone
- (208) 743-9616
- NPI assigned
- Apr 19, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Registered Nurse | 163WG0000X | 62125 | ID | |
| General Practice Registered Nurse | 163WG0000X | RN60956418 | WA | |
| Family Nurse Practitioner | 363LF0000X | 62125 | ID | Primary |
Addresses
Primary practice location
1331 G St
Lewiston, ID 83501-1964
Mailing address
832 11TH St
Clarkston, WA 99403-2149
Phone (509) 254-4289
Other practice location 1
102 New 6th St
Lewiston, ID 83501-2133
Phone (208) 298-4575
Other names 1
- Aisha Lynn Everson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN60956418 | WA | MD | General Practice Registered Nurse |
| 62125 | ID | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Demean Healthcare Solutions LLC | Family | Current | Accepting new patients |
Locations
1331 G St
Lewiston, ID 83501
Phone (208) 717-2299
Interoperability endpoints
- https://api.platform.athenahealth.com/21395/brand/1/csg/1/fhir/r4
- aisha.wheeler.1@21395.direct.athenahealth.com
Organizations & group practices 1
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.
-
dba Demean Family Medicine
- Family Nurse Practitioner
- Lewiston, ID
- NPI 1932722451
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682899200000",
"number": "1699462796",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "832 11TH ST",
"city": "CLARKSTON",
"state": "WA",
"postal_code": "994032149",
"telephone_number": "509-254-4289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1331 G ST",
"city": "LEWISTON",
"state": "ID",
"postal_code": "835011964",
"telephone_number": "208-743-9616"
}
],
"practiceLocations": [
{
"address_1": "102 New 6th St",
"address_purpose": "LOCATION",
"city": "Lewiston",
"state": "ID",
"postal_code": "835012133",
"country_code": "US",
"telephone_number": "208-298-4575",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WHEELER",
"first_name": "AISHA",
"middle_name": "LYNN",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-04-19",
"last_updated": "2023-05-01",
"certification_date": "2023-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "163WG0000X",
"taxonomy_group": "",
"desc": "Registered Nurse, General Practice",
"state": "ID",
"license": "62125",
"primary": false
},
{
"code": "163WG0000X",
"taxonomy_group": "",
"desc": "Registered Nurse, General Practice",
"state": "WA",
"license": "RN60956418",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "ID",
"license": "62125",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AISHA",
"last_name": "EVERSON",
"middle_name": "LYNN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Lewiston, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.