Active NPI
Vicki S Wettig, CRNP
- Family Nurse Practitioner
- Lancaster, PA
National Provider Identifier
1922005784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- VP005031B
- Practice address
- 2112 Harrisburg Pike
Ste 202
Lancaster, PA 17601-2644 - Phone
- (717) 544-3500
- Fax
- (717) 544-3501
- NPI assigned
- Jul 7, 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 | VP005031B | PA | Primary |
Addresses
Primary practice location
2112 Harrisburg Pike
Ste 202
Lancaster, PA 17601-2644
Mailing address
2112 Harrisburg Pike
Ste 202
Lancaster, PA 17601-2644
Phone (717) 544-3500
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7399164 | Medicaid | PA | |
| 100012158 | Other | RAILROAD MEDICARE |
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 |
|---|---|---|---|
| VP005031B | PA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321228800000",
"number": "1922005784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2112 HARRISBURG PIKE",
"address_2": "STE 202",
"city": "LANCASTER",
"state": "PA",
"postal_code": "176012644",
"telephone_number": "717-544-3500",
"fax_number": "717-544-3501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2112 HARRISBURG PIKE",
"address_2": "STE 202",
"city": "LANCASTER",
"state": "PA",
"postal_code": "176012644",
"telephone_number": "717-544-3500",
"fax_number": "717-544-3501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WETTIG",
"first_name": "VICKI",
"middle_name": "S",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-07",
"last_updated": "2011-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "PA",
"license": "VP005031B",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7399164",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "100012158",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lancaster, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.