Individual provider Active NPI

Tinea Patricia Vanderwerff

  • Pediatric Nurse Practitioner
  • Oak Creek, WI
National Provider Identifier
1831008358
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
19024-33 Issued in WI
Practice address
8375 S Howell Ave
Oak Creek, WI 53154-8344
Phone
(414) 764-5726
Fax
(414) 764-6954
NPI assigned
Sep 2, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 19024-33 WI Primary

Addresses

Primary practice location

8375 S Howell Ave
Oak Creek, WI 53154-8344

Mailing address

8375 S Howell Ave
Oak Creek, WI 53154-8344
Phone (414) 764-5726

Other names 1

  • Tinea Reuter Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1788307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788307200000",
    "number": "1831008358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8375 S HOWELL AVE",
            "city": "OAK CREEK",
            "state": "WI",
            "postal_code": "531548344",
            "telephone_number": "414-764-5726",
            "fax_number": "414-764-6954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8375 S HOWELL AVE",
            "city": "OAK CREEK",
            "state": "WI",
            "postal_code": "531548344",
            "telephone_number": "414-764-5726",
            "fax_number": "414-764-6954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDERWERFF",
        "first_name": "TINEA",
        "middle_name": "PATRICIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-02",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "WI",
            "license": "19024-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TINEA",
            "last_name": "REUTER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Oak Creek, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.