Active NPI
Ivana Wisky, REGISTERED NURSE
- Community Health Registered Nurse
- Lawrence, MA
National Provider Identifier
1861246795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Registered Nurse
- License
- RN10000758
- Practice address
- 150 Park St
Lawrence, MA 01841-2517 - Phone
- (978) 685-1770
- NPI assigned
- Apr 16, 2024
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Community Health Registered Nurse | 163WC1500X | RN10000758 | MA | Primary |
Addresses
Primary practice location
150 Park St
Lawrence, MA 01841-2517
Mailing address
16 Gabs Path
Tewksbury, MA 01876-2194
Other practice location 1
755 Main St
Haverhill, MA 01830-2166
Phone (978) 557-2300
Other practice location 2
147 Pelham St
Methuen, MA 01844-2060
Phone (978) 683-3491
Other practice location 3
700 Essex St
Lawrence, MA 01841-4396
Phone (978) 689-2400
Other practice location 4
34 Haverhill St
Lawrence, MA 01841-2884
Phone (978) 686-0090
Other practice location 5
73 Winthrop Ave
Lawrence, MA 01843-2836
Phone (978) 686-3017
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 |
|---|---|---|---|
| RN10000758 | MA | MD | Community Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1713225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713225600000",
"number": "1861246795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 GABS PATH",
"city": "TEWKSBURY",
"state": "MA",
"postal_code": "018762194"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 PARK ST",
"city": "LAWRENCE",
"state": "MA",
"postal_code": "018412517",
"telephone_number": "978-685-1770"
}
],
"practiceLocations": [
{
"address_1": "755 Main St",
"address_purpose": "LOCATION",
"city": "Haverhill",
"state": "MA",
"postal_code": "018302166",
"country_code": "US",
"telephone_number": "978-557-2300",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "147 Pelham St",
"address_purpose": "LOCATION",
"city": "Methuen",
"state": "MA",
"postal_code": "018442060",
"country_code": "US",
"telephone_number": "978-683-3491",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "700 Essex St",
"address_purpose": "LOCATION",
"city": "Lawrence",
"state": "MA",
"postal_code": "018414396",
"country_code": "US",
"telephone_number": "978-689-2400",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "34 Haverhill St",
"address_purpose": "LOCATION",
"city": "Lawrence",
"state": "MA",
"postal_code": "018412884",
"country_code": "US",
"telephone_number": "978-686-0090",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "73 Winthrop Ave",
"address_purpose": "LOCATION",
"city": "Lawrence",
"state": "MA",
"postal_code": "018432836",
"country_code": "US",
"telephone_number": "978-686-3017",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WISKY",
"first_name": "IVANA",
"credential": "REGISTERED NURSE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-04-16",
"last_updated": "2024-04-16",
"certification_date": "2024-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "163WC1500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Community Health",
"state": "MA",
"license": "RN10000758",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lawrence, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.