Wayne Senior, CEO

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Practice address

13503 Thrush St NW
Andover, MN 55304-3991

Phone

(763) 479-9153

NPI assigned

Nov 26, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1606348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606348800000",
    "number": "1972107266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13503 THRUSH ST NW",
            "city": "ANDOVER",
            "state": "MN",
            "postal_code": "553043991",
            "telephone_number": "763-479-9153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13503 THRUSH ST NW",
            "city": "ANDOVER",
            "state": "MN",
            "postal_code": "553043991",
            "telephone_number": "763-479-9153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SENIOR",
        "first_name": "WAYNE",
        "credential": "CEO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-11-26",
        "last_updated": "2020-11-26",
        "certification_date": "2020-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1033395488",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brenda Schmeichel, NBC-HWC, RPH
• Amanda Schmidt, LPCC, LADC
• Annette Marie Schmidt, PHARMD
• Amy G Schweigert, PSYD, LP, LMFT
• Maida Sejdic
• Eva Jeptoo Serem, PHARMD.
• Victoria Lynn Seymour, DC
• Nancy Grace Shaddi
• Katie Ann Louise Shaw, LICSW
• Victoria Shear

• Home Health Agency in Andover, MN
• Providers in Andover, MN by specialty
• Home Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2020; 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.