Individual provider Active NPI

Leeann Wisnowski, ARNP

  • Family Nurse Practitioner
  • Trinity, FL
National Provider Identifier
1932533221
Registry record updated Jan 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9174576 Issued in FL
Practice address
1807 Short Branch Dr Ste 102
Trinity, FL 34655-4424
Phone
(727) 376-3547
NPI assigned
Aug 22, 2013
Last updated
Jan 13, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 9174576 FL Primary

Addresses

Primary practice location

1807 Short Branch Dr Ste 102
Trinity, FL 34655-4424

Mailing address

1807 Short Branch Dr Ste 102
Trinity, FL 34655-4424
Phone (727) 376-3547

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

State licenses

LicenseStateTypeSpecialty
9174576FLMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1377129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389571200000",
    "number": "1932533221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1807 SHORT BRANCH DR STE 102",
            "city": "TRINITY",
            "state": "FL",
            "postal_code": "346554424",
            "telephone_number": "727-376-3547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1807 SHORT BRANCH DR STE 102",
            "city": "TRINITY",
            "state": "FL",
            "postal_code": "346554424",
            "telephone_number": "727-376-3547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISNOWSKI",
        "first_name": "LEEANN",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-22",
        "last_updated": "2014-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9174576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trinity, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2014; 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.