Western New England University

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

Legal business name

WESTERN NEW ENGLAND UNIVERSITY

Practice address

215 Wilbraham Road
Springfield, MA 01119

Phone

(413) 782-1211

Fax

(413) 796-2255

NPI assigned

Mar 25, 2019

Organization subpart

Yes

Parent organization

WESTERN NEW ENGLAND UNIVERSITYAs reported in NPPES

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

Authorized official

Name

Dr. Richard A Wagner, PHD

Title

Vice President of Finance and Admin

Phone

(413) 782-1219

Specialties & licenses 3

Addresses

Other names 1

• Western New England College Former legal business name

Tax ID family

Western New England University2 organizations share this tax ID, including this one

Part of

Western New England University

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Western New England University

  dba Western New England University Sports Medicine

  • Internal Medicine Physician
  • Springfield, MA
  • NPI 1356713572
  NPD tax ID

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Western New England University

  dba Western New England University Sports Medicine

  • Internal Medicine Physician
  • Springfield, MA
  • NPI 1356713572
  NPPES parent name

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

{
    "created_epoch": "1553472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553472000000",
    "number": "1740740737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 WILBRAHAM ROAD",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "01119",
            "telephone_number": "413-782-1211",
            "fax_number": "413-796-2255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 WILBRAHAM ROAD",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "01119",
            "telephone_number": "413-782-1211",
            "fax_number": "413-796-2255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN NEW ENGLAND UNIVERSITY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WESTERN NEW ENGLAND UNIVERSITY",
        "enumeration_date": "2019-03-25",
        "last_updated": "2019-03-25",
        "status": "A",
        "authorized_official_last_name": "WAGNER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "VICE PRESIDENT OF FINANCE AND ADMIN",
        "authorized_official_telephone_number": "413-782-1219",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Western New England College",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Western Massachusetts Lifecare Corporation, Inc (Reeds Landing)
• Western Massachusetts Primary Care PC
• Western New England Medical Transport LLC
• Western New England Renal and Transplant Associates, P.C.
• Western New England University (Western New England University Sports Medicine)
• Amanda A. Westlake, M.D.
• Tasha Weston-Senior, LCSW
• Erica Weston, MD
• Jessica Lynne Wetmore
• Amy Wevodau, PH.D.

• Adult Health Nurse Practitioner in Springfield, MA
• Providers in Springfield, MA by specialty
• Adult Health Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2019; 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.