Individual provider Active NPI

Aisha Lynn Wheeler, FNP

  • Family Nurse Practitioner
  • Lewiston, ID
National Provider Identifier
1699462796
Registry record updated May 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
62125 Issued in ID
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

Updated by the provider on May 1, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230713003561 ID Practitioner - Nurse Practitioner 2264892850 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN60956418WAMDGeneral Practice Registered Nurse
62125IDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Demean Healthcare Solutions LLC Family CurrentSince Jun 3, 2023 Accepting new patients

Locations

1331 G St
Lewiston, ID 83501
Phone (208) 717-2299

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21395/brand/1/csg/1/fhir/r4
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.