Linda M Widzinski

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

1831239 Issued in OH

Practice address

6490 Willow Dr
Independence, OH 44131-3226

Phone

(216) 387-0332

NPI assigned

Sep 13, 2020

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": "1599955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599955200000",
    "number": "1730794025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6490 WILLOW DR",
            "city": "INDEPENDENCE",
            "state": "OH",
            "postal_code": "441313226",
            "telephone_number": "216-387-0332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6490 WILLOW DR",
            "city": "INDEPENDENCE",
            "state": "OH",
            "postal_code": "441313226",
            "telephone_number": "216-387-0332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIDZINSKI",
        "first_name": "LINDA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-13",
        "last_updated": "2020-09-13",
        "certification_date": "2020-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "OH",
            "license": "1831239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shamirah White, LPN
• Brandy M Whitman
• Parceanur Whittsette, LISW
• Christine Wichert, GCNS-BC
• James F Widzinski
• Rachel Sabrina Widzinski
• Kelly A Wieczorek, LPCC
• Marlene Willen, MD
• Grace Willer, PH.D.
• Daniel Williams, LPCC

• Student in an Organized Health Care Education/Training Program in Independence, OH
• Providers in Independence, OH by specialty
• Student in an Organized Health Care Education/Training Program in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2020; 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.