Vivian Michele Whack, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

209444-1 Issued in NY

Practice address

64 Linda Dr
Apt 5
Cheektowaga, NY 14225-2744

Phone

(716) 400-5357

Fax

(716) 881-6247

NPI assigned

Oct 23, 2014

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1414022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414022400000",
    "number": "1740685528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 LINDA DR",
            "address_2": "APT 5",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "142252744",
            "telephone_number": "716-400-5357",
            "fax_number": "716-881-6247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 LINDA DR",
            "address_2": "APT 5",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "142252744",
            "telephone_number": "716-400-5357",
            "fax_number": "716-881-6247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHACK",
        "first_name": "VIVIAN",
        "middle_name": "MICHELE",
        "name_prefix": "Ms.",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-23",
        "last_updated": "2014-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "209444-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eleanore Weppler, RN
• Crystal B West, OTR/L
• Western New York Cardiothoracic
• Western New York Urology Associates, LLC (Cancer Care of Western New York)
• Stefanie Westman
• Stephanie Rose Wheeler
• Mary Patricia Whistler, NP
• Tyler Whitaker
• Julie M Whitbeck, OTR/L
• Nathaniel Whitcomb, LMSW

• Licensed Practical Nurse in Cheektowaga, NY
• Providers in Cheektowaga, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.