Individual provider Active NPI

Wendy Michelle Weisheimer, APRN

  • Nurse Practitioner
  • New Smyrna Beach, FL
National Provider Identifier
1821555947
Registry record updated Feb 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
11001239 Issued in FL
Practice address
6659 Engram Rd
New Smyrna Beach, FL 32169-4917
Phone
(386) 402-2279
NPI assigned
Feb 25, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 11001239 FL Primary

Addresses

Primary practice location

6659 Engram Rd
New Smyrna Beach, FL 32169-4917

Mailing address

6659 Engram Rd
New Smyrna Beach, FL 32169-4917
Phone (386) 402-2279

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

State licenses

LicenseStateTypeSpecialty
11001239FLMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1551052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551052800000",
    "number": "1821555947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6659 ENGRAM RD",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "321694917",
            "telephone_number": "386-402-2279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6659 ENGRAM RD",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "321694917",
            "telephone_number": "386-402-2279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISHEIMER",
        "first_name": "WENDY",
        "middle_name": "MICHELLE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-25",
        "last_updated": "2019-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11001239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Smyrna Beach, FL

Sources for this page

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