Active NPI
Susan Elaine Wastell, R.N.
- Registered Nurse
- Juneau, AK
National Provider Identifier
1699954776
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 7284
- Practice address
- 3245 Hospital Dr
Juneau, AK 99801-7809 - Phone
- (907) 789-5128
- NPI assigned
- Oct 25, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 7284 | AK | Primary |
Addresses
Primary practice location
3245 Hospital Dr
Juneau, AK 99801-7809
Mailing address
PO Box 32471
Juneau, AK 99803-2471
Phone (907) 789-5128
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7284 | AK | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193270400000",
"number": "1699954776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 32471",
"city": "JUNEAU",
"state": "AK",
"postal_code": "998032471",
"telephone_number": "907-789-5128"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3245 HOSPITAL DR",
"city": "JUNEAU",
"state": "AK",
"postal_code": "998017809",
"telephone_number": "907-789-5128"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WASTELL",
"first_name": "SUSAN",
"middle_name": "ELAINE",
"name_prefix": "Mrs.",
"credential": "R.N.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-25",
"last_updated": "2007-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "AK",
"license": "7284",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Juneau, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.