Active NPI
Barbara Russell Wildfeir, FNP
- Family Nurse Practitioner
- Bronx, NY
National Provider Identifier
1902890502
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F-333377-1
- Practice address
- 1500 Pelham Pkwy S
Bronx, NY 10461-1100 - Phone
- (718) 730-1004
- Fax
- (718) 892-6469
- NPI assigned
- Sep 9, 2005
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F-333377-1 | NY | Primary |
Addresses
Primary practice location
1500 Pelham Pkwy S
Bronx, NY 10461-1100
Mailing address
15 Cheshire St
Huntington Station, NY 11746-1214
Phone (631) 549-1933
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F-333377-1 | NY | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1902890502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 CHESHIRE ST",
"city": "HUNTINGTON STATION",
"state": "NY",
"postal_code": "117461214",
"telephone_number": "631-549-1933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 PELHAM PKWY S",
"city": "BRONX",
"state": "NY",
"postal_code": "104611100",
"telephone_number": "718-730-1004",
"fax_number": "718-892-6469"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILDFEIR",
"first_name": "BARBARA",
"middle_name": "RUSSELL",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "F-333377-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bronx, NY
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.