Individual provider Active NPI

Winter Leigh Noe, MED

  • Specialist
  • Wonder Lake, IL
National Provider Identifier
1891815627
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
N00089279646 Issued in IL
Practice address
7609 Catalpa Dr
Wonder Lake, IL 60097-8689
Phone
(815) 728-7253
NPI assigned
Mar 29, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X N00089279646 IL Primary

Addresses

Primary practice location

7609 Catalpa Dr
Wonder Lake, IL 60097-8689

Mailing address

7609 Catalpa Dr
Wonder Lake, IL 60097-8689
Phone (815) 728-7253

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
Master of Education

State licenses

LicenseStateTypeSpecialty
N00089279646ILMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891815627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7609 CATALPA DR",
            "city": "WONDER LAKE",
            "state": "IL",
            "postal_code": "600978689",
            "telephone_number": "815-728-7253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7609 CATALPA DR",
            "city": "WONDER LAKE",
            "state": "IL",
            "postal_code": "600978689",
            "telephone_number": "815-728-7253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOE",
        "first_name": "WINTER",
        "middle_name": "LEIGH",
        "name_prefix": "Mrs.",
        "credential": "MED",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IL",
            "license": "N00089279646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wonder Lake, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.