Individual provider Active NPI

Christina Louise Wentzel, RN

  • School Registered Nurse
  • Brooklyn, NY
National Provider Identifier
1871869628
Registry record updated Mar 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
543106 Issued in NY
Practice address
425 Henry St
#104 Nurse
Brooklyn, NY 11201-6010
Phone
(718) 330-1217
Fax
(718) 596-4989
NPI assigned
Mar 27, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X 543106 NY Primary

Addresses

Primary practice location

425 Henry St
#104 Nurse
Brooklyn, NY 11201-6010

Mailing address

425 Henry St
#104 Nurse
Brooklyn, NY 11201-6010
Phone (718) 330-1217

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
543106NYMDSchool Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1332806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332806400000",
    "number": "1871869628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 HENRY ST",
            "address_2": "#104 NURSE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112016010",
            "telephone_number": "718-330-1217",
            "fax_number": "718-596-4989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 HENRY ST",
            "address_2": "#104 NURSE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112016010",
            "telephone_number": "718-330-1217",
            "fax_number": "718-596-4989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENTZEL",
        "first_name": "CHRISTINA",
        "middle_name": "LOUISE",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-27",
        "last_updated": "2012-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "NY",
            "license": "543106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2012; 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.