Individual provider Active NPI

Erika Marie Wimbish, RN

  • Administrator Registered Nurse
  • Pittsburgh, PA
National Provider Identifier
1851939615
Registry record updated Dec 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Administrator Registered NurseTaxonomy code 163WA2000X
License
RN1011194 Issued in DC
Practice address
2240 William Penn Hwy
Pittsburgh, PA 15235-2775
Phone
(412) 727-6306
Fax
(703) 229-4181
NPI assigned
Dec 11, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X 0001200157 VA
Neuroscience Registered Nurse 163WN0800X RN1011194 DC
Administrator Registered Nurse 163WA2000X RN1011194 DC Primary

Addresses

Primary practice location

2240 William Penn Hwy
Pittsburgh, PA 15235-2775

Mailing address

2240 William Penn Hwy
Pittsburgh, PA 15235-2775
Phone (412) 727-6306

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ewimbish@mylegacyresidential.com Direct

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
RN1011194DCMDAdministrator Registered Nurse
0001200157VAMDHome Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1576022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576022400000",
    "number": "1851939615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2240 WILLIAM PENN HWY",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152352775",
            "telephone_number": "412-727-6306",
            "fax_number": "703-229-4181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2240 WILLIAM PENN HWY",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152352775",
            "telephone_number": "412-727-6306",
            "fax_number": "703-229-4181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIMBISH",
        "first_name": "ERIKA",
        "middle_name": "MARIE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-11",
        "last_updated": "2019-12-11",
        "certification_date": "2019-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "VA",
            "license": "0001200157",
            "primary": false
        },
        {
            "code": "163WN0800X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Neuroscience",
            "state": "DC",
            "license": "RN1011194",
            "primary": false
        },
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "DC",
            "license": "RN1011194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ewimbish@mylegacyresidential.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2240 William Penn Hwy",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152352775",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.