Active NPI
Angela R Wiseman, RN, BSN
- School Registered Nurse
- Monroe, WA
National Provider Identifier
1922352293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Registered Nurse
- License
- RN60015740
- Practice address
- 200 E Fremont St
Monroe, WA 98272-2336 - Phone
- (360) 804-2984
- Fax
- (360) 804-2569
- NPI assigned
- Nov 7, 2012
- Last updated
- Nov 7, 2012
- 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 |
|---|---|---|---|---|
| School Registered Nurse | 163WS0200X | RN60015740 | WA | Primary |
Addresses
Primary practice location
200 E Fremont St
Monroe, WA 98272-2336
Mailing address
200 E Fremont St
Monroe, WA 98272-2336
Other names 1
- Angela R Kees
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
- Bachelor on Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN60015740 | WA | MD | School Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1352246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352246400000",
"number": "1922352293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 E FREMONT ST",
"city": "MONROE",
"state": "WA",
"postal_code": "982722336",
"fax_number": "360-804-2569"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 E FREMONT ST",
"city": "MONROE",
"state": "WA",
"postal_code": "982722336",
"telephone_number": "360-804-2984",
"fax_number": "360-804-2569"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WISEMAN",
"first_name": "ANGELA",
"middle_name": "R",
"credential": "RN, BSN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-11-07",
"last_updated": "2012-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "163WS0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, School",
"state": "WA",
"license": "RN60015740",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANGELA",
"last_name": "KEES",
"middle_name": "R",
"credential": "RN, BSN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Monroe, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.