Nicole A Wames, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

26NJ00918900 Issued in NJ

Practice address

203 Crest Ave
Haddon Heights, NJ 08035-1418

Phone

(856) 816-4460

NPI assigned

Aug 23, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/11700/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Clare Medical of New Jersey LLC

  • Geriatric Medicine (Family Medicine) Physician
  • Mount Holly, NJ
  • NPI 1255718276

  Single Specialty

  Medicare reassignment NPD
• Jeffrey Kleeman, DO

  • Family Medicine Physician
  • Camden, NJ
  • NPI 1598777310
  Medicare reassignment
• Jeffrey a Kleeman DO

  • Family Medicine Physician
  • Camden, NJ
  • NPI 1295936516

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1566518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566518400000",
    "number": "1881241818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 CREST AVE",
            "city": "HADDON HEIGHTS",
            "state": "NJ",
            "postal_code": "080351418",
            "telephone_number": "856-816-4460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 CREST AVE",
            "city": "HADDON HEIGHTS",
            "state": "NJ",
            "postal_code": "080351418",
            "telephone_number": "856-816-4460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAMES",
        "first_name": "NICOLE",
        "middle_name": "A",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-23",
        "last_updated": "2019-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NJ",
            "license": "26NJ00918900",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NJ",
            "license": "26NJ00918900",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ00918900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Valles, LPC, ACS
• Leah Valley, MSW
• Vijayendra K Verma, MD
• Danielle Vieira, C. PED
• Dilip B Viswanath, MD
• Alan Weber II, LSW
• James Weidner, MD
• Stephen E Weinberg, M.D.
• Dorothy Sandy Whipple, M.D.
• Jacqlyn Whitby

• Adult Health Nurse Practitioner in Haddon Heights, NJ
• Providers in Haddon Heights, NJ by specialty
• Adult Health Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.