Individual provider Active NPI

Emelia N Wiseltier, LPN

  • Licensed Practical Nurse
  • Brooklyn, NY
National Provider Identifier
1720399421
Registry record updated Aug 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
301282 Issued in NY
Practice address
486 Brooklyn Ave
Apt D 12
Brooklyn, NY 11225-4460
Phone
(347) 207-4253
NPI assigned
Jun 28, 2010
Last updated
Aug 13, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 301282 NY Primary

Addresses

Primary practice location

486 Brooklyn Ave
Apt D 12
Brooklyn, NY 11225-4460

Mailing address

486 Brooklyn Ave
Apt D 12
Brooklyn, NY 11225-4460
Phone (347) 207-4253

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

State licenses

LicenseStateTypeSpecialty
301282NYMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1277683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407888000000",
    "number": "1720399421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "486 BROOKLYN AVE",
            "address_2": "APT D 12",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112254460",
            "telephone_number": "347-207-4253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "486 BROOKLYN AVE",
            "address_2": "APT D 12",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112254460",
            "telephone_number": "347-207-4253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISELTIER",
        "first_name": "EMELIA",
        "middle_name": "N",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-28",
        "last_updated": "2014-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "301282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2014; 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.