Active NPI
Nicholas Weckstein
- Home Health Registered Nurse
- South Hero, VT
National Provider Identifier
1821564527
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Registered Nurse
- License
- 026.0137014
- Practice address
- 90 Lombard LN
South Hero, VT 05486-4302 - Phone
- (603) 717-8127
- NPI assigned
- Oct 19, 2018
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | 026.0137014 | VT | Primary |
Addresses
Primary practice location
90 Lombard LN
South Hero, VT 05486-4302
Mailing address
61 Case Pkwy
Burlington, VT 05401-1506
Phone (603) 717-8127
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
| License | State | Type | Specialty |
|---|---|---|---|
| 026.0137014 | VT | MD | Home Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539907200000",
"number": "1821564527",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "61 CASE PKWY",
"city": "BURLINGTON",
"state": "VT",
"postal_code": "054011506",
"telephone_number": "603-717-8127"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "90 LOMBARD LN",
"city": "SOUTH HERO",
"state": "VT",
"postal_code": "054864302",
"telephone_number": "603-717-8127"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WECKSTEIN",
"first_name": "NICHOLAS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-10-19",
"last_updated": "2018-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": "VT",
"license": "026.0137014",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Hero, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.