Andrea Casal Caetano Wiktorski, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

307793-01 Issued in NY

Practice address

114 Jackson Road Ext
Penfield, NY 14526-1239

Phone

(585) 377-2568

NPI assigned

Aug 22, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1661126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661126400000",
    "number": "1942928338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 JACKSON ROAD EXT",
            "city": "PENFIELD",
            "state": "NY",
            "postal_code": "145261239",
            "telephone_number": "585-377-2568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 JACKSON ROAD EXT",
            "city": "PENFIELD",
            "state": "NY",
            "postal_code": "145261239",
            "telephone_number": "585-377-2568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIKTORSKI",
        "first_name": "ANDREA",
        "middle_name": "CASAL CAETANO",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-22",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "307793-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Western New York Medical Practice, P.C.
• Weston Paxxon PT,OT & SLP, PLLC
• Ashley Whalen, LMSW
• Sean Whelen
• Lisa Marie White, LPN
• James Zhi Kang Willard
• Susan Joyce Willer, RN
• David D Williams, M.D.
• Elizabeth F Williams, LMHC
• Mary M Wilsch, M.D.

• Licensed Practical Nurse in Penfield, NY
• Providers in Penfield, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2022; 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.