Catherine Whelimina Wacondo, REGISTERED NURSE

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

44741 Issued in NE

Practice address

US Hwy 18 Pineridge IHS
Pine Ridge, SD 57770-1232

Phone

(605) 867-5138

NPI assigned

Nov 9, 2010

Last updated

Nov 9, 2010By the provider in NPPES

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

Other names 1

• Ms. Catherine Whelimina Wacondo Professional name

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": "1289260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289260800000",
    "number": "1952602872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1232",
            "address_2": "PHS ON36A",
            "city": "PINE RIDGE",
            "state": "SD",
            "postal_code": "577701232",
            "telephone_number": "605-867-1633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "US HWY 18 PINERIDGE IHS",
            "city": "PINE RIDGE",
            "state": "SD",
            "postal_code": "577701232",
            "telephone_number": "605-867-5138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WACONDO",
        "first_name": "CATHERINE",
        "middle_name": "WHELIMINA",
        "name_prefix": "Ms.",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-09",
        "last_updated": "2010-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NE",
            "license": "44741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CATHERINE",
            "last_name": "WACONDO",
            "middle_name": "WHELIMINA",
            "prefix": "MS.",
            "credential": "REGISTERED NURSE",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Kellie R Thiessen, CNM,MS
• Veronica Rose Thomas, RN
• Helena Torres, PHARMD
• Gloria Esther Velazco, RN
• Steven Gabriel Verdieu, RPH
• Susan Jean Wallace
• S Patrick Weber, M.D.
• Lea A Wells, PHARM D
• Evelyn J Weston, RN
• Winckler Vision Center, Inc.

• Registered Nurse in Pine Ridge, SD
• Providers in Pine Ridge, SD by specialty
• Registered Nurse in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2010; 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.