Active NPI
Wendy Wiltermood, CAREGIVER
- Attendant Care Provider
- Rushville, IL
National Provider Identifier
1740911395
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Attendant Care Provider
- Practice address
- 3 Gulf View Acres
Rushville, IL 62681 - Phone
- (319) 338-0581
- NPI assigned
- Jun 23, 2022
- Last updated
- Jun 23, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Attendant Care Provider | 3747A0650X | Primary |
Addresses
Primary practice location
3 Gulf View Acres
Rushville, IL 62681
Mailing address
7136 Acheson Road
Bushville, IL 62681
Phone (217) 719-0853
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655942400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655942400000",
"number": "1740911395",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7136 ACHESON ROAD",
"city": "BUSHVILLE",
"state": "IL",
"postal_code": "62681",
"telephone_number": "217-719-0853"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 GULF VIEW ACRES",
"city": "RUSHVILLE",
"state": "IL",
"postal_code": "62681",
"telephone_number": "319-338-0581"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILTERMOOD",
"first_name": "WENDY",
"name_prefix": "Ms.",
"credential": "CAREGIVER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-23",
"last_updated": "2022-06-23",
"certification_date": "2022-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "3747A0650X",
"taxonomy_group": "",
"desc": "Technician, Attendant Care Provider",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rushville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.