Individual provider Active NPI

Cristina Wheelock, RN

  • School Registered Nurse
  • West Winfield, NY
National Provider Identifier
1780288449
Registry record updated Nov 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
664185 Issued in NY
Practice address
500 Fairground Rd
West Winfield, NY 13491-2006
Phone
(315) 822-2843
Fax
(315) 822-3436
NPI assigned
Nov 24, 2020
Last updated
Nov 24, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X 664185 NY Primary

Addresses

Primary practice location

500 Fairground Rd
West Winfield, NY 13491-2006

Mailing address

500 Fairground Rd
West Winfield, NY 13491-2006
Phone (315) 822-2843

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
664185NYMDSchool Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Bridgewater West Winfield CSD PastSince Nov 29, 2020 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1606176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606176000000",
    "number": "1780288449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 FAIRGROUND RD",
            "city": "WEST WINFIELD",
            "state": "NY",
            "postal_code": "134912006",
            "telephone_number": "315-822-2843",
            "fax_number": "315-822-3436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 FAIRGROUND RD",
            "city": "WEST WINFIELD",
            "state": "NY",
            "postal_code": "134912006",
            "telephone_number": "315-822-2843",
            "fax_number": "315-822-3436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHEELOCK",
        "first_name": "CRISTINA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-24",
        "last_updated": "2020-11-24",
        "certification_date": "2020-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "NY",
            "license": "664185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Winfield, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 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.