Angela Mae Wichert, LPN,WCC

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

L0056224 Issued in OK

Practice address

1305 S Clarence Nash Blvd
Watonga, OK 73772-4820

Phone

(580) 623-4991

Fax

(580) 623-5490

NPI assigned

Apr 8, 2024

Sex

Female

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1712534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712534400000",
    "number": "1699528901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 S CLARENCE NASH BLVD",
            "city": "WATONGA",
            "state": "OK",
            "postal_code": "737724820",
            "telephone_number": "580-623-4991",
            "fax_number": "580-623-5490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 S CLARENCE NASH BLVD",
            "city": "WATONGA",
            "state": "OK",
            "postal_code": "737724820",
            "telephone_number": "580-623-4991",
            "fax_number": "580-623-5490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WICHERT",
        "first_name": "ANGELA",
        "middle_name": "MAE",
        "credential": "LPN,WCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-08",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OK",
            "license": "L0056224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Watonga Indian Health Center
• Watonga Public Schools
• Kay Weber, M.ED
• Steve N Weber
• Tracie Whiteshirt
• Karen Winter
• Yco West, Inc
• Richard Frederick Zielinski, MD

• All providers in Watonga, OK
• Licensed Practical Nurse in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2024; 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.