Active NPI
Linda Aileen Wake
- Blood Banking & Transfusion Medicine Physician
- Glendale, WI
National Provider Identifier
1942844147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Blood Banking & Transfusion Medicine Physician
- License
- 46932-20
- Practice address
- 500 W Silver Spring Dr Ste K340
Glendale, WI 53217-5065 - Phone
- (414) 961-9601
- NPI assigned
- Oct 30, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Pathology Physician | 207ZC0006X | 46932-20 | WI | |
| Blood Banking & Transfusion Medicine Physician | 207ZB0001X | 46932-20 | WI | Primary |
Addresses
Primary practice location
500 W Silver Spring Dr Ste K340
Glendale, WI 53217-5065
Mailing address
500 W Silver Spring Dr Ste K340
Glendale, WI 53217-5065
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 |
|---|---|---|---|
| 46932-20 | WI | MD | Clinical Pathology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572393600000",
"number": "1942844147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 W SILVER SPRING DR STE K340",
"city": "GLENDALE",
"state": "WI",
"postal_code": "532175065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 W SILVER SPRING DR STE K340",
"city": "GLENDALE",
"state": "WI",
"postal_code": "532175065",
"telephone_number": "414-961-9601"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAKE",
"first_name": "LINDA",
"middle_name": "AILEEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-30",
"last_updated": "2019-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "207ZC0006X",
"taxonomy_group": "",
"desc": "Pathology, Clinical Pathology",
"state": "WI",
"license": "46932-20",
"primary": false
},
{
"code": "207ZB0001X",
"taxonomy_group": "",
"desc": "Pathology, Blood Banking & Transfusion Medicine",
"state": "WI",
"license": "46932-20",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glendale, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.