Spring Lea Wettgen, NURSE PRACTITIONER

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

RN424006 NP14332 Issued in CA

Practice address

1000 West Carson Street
Building 25 Box 468
Torrance, CA 90509-2910

Phone

(310) 222-4167

Fax

(310) 222-4006

NPI assigned

May 10, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699989277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16278 JANINE DR",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906031530",
            "telephone_number": "310-222-4167",
            "fax_number": "310-222-4006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 WEST CARSON STREET",
            "address_2": "BUILDING 25 BOX 468",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905092910",
            "telephone_number": "310-222-4167",
            "fax_number": "310-222-4006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WETTGEN",
        "first_name": "SPRING",
        "middle_name": "LEA",
        "name_prefix": "Mrs.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CA",
            "license": "RN424006  NP14332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Western Medical Group, Inc.
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• Western Resident Training and Management Corporation
• Western River Acupuncture Co.
• James D Wethe, MD
• Diane Weyman, LMHC
• Donald Whang, M.D.
• Helen Haekyong Whang, PHARMD
• Sydney Del Carmen Wheat
• Kayshalin Wheatley, LVN

• Pediatric Nurse Practitioner in Torrance, CA
• Providers in Torrance, CA by specialty
• Pediatric Nurse Practitioner in California

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

Verify at the official NPI Registry.