Active NPI
Kerri Wissig
- Health Educator
- Coram, NY
National Provider Identifier
1922480508
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Educator
- License
- 814218141
- Practice address
- 17 Cammann Rd
Coram, NY 11727-3044 - Phone
- (631) 219-0216
- NPI assigned
- Jun 19, 2015
- 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 |
|---|---|---|---|---|
| Health Educator | 174H00000X | 814218141 | NY | Primary |
Addresses
Primary practice location
17 Cammann Rd
Coram, NY 11727-3044
Mailing address
17 Cammann Rd
Coram, NY 11727-3044
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 814218141 | NY | MD | Health Educator |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1436745600000",
"number": "1922480508",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17 CAMMANN RD",
"city": "CORAM",
"state": "NY",
"postal_code": "117273044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17 CAMMANN RD",
"city": "CORAM",
"state": "NY",
"postal_code": "117273044",
"telephone_number": "631-219-0216"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WISSIG",
"first_name": "KERRI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-19",
"last_updated": "2015-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": "NY",
"license": "814218141",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Coram, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.