Active NPI
Kathleen Rose Wingert, BCN
- Specialist
- Irvine, CA
National Provider Identifier
1972961936
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- E5661
- Practice address
- 7545 Irvine Center Dr
Suite 200
Irvine, CA 92618-2932 - Phone
- (949) 393-4219
- NPI assigned
- Feb 5, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | E5661 | CA | Primary |
Addresses
Primary practice location
7545 Irvine Center Dr
Suite 200
Irvine, CA 92618-2932
Mailing address
7545 Irvine Center Drive
Suite 200
Irvine, CA 92618
Phone (949) 393-4219
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 |
|---|---|---|---|
| E5661 | CA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1454630400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1454630400000",
"number": "1972961936",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7545 IRVINE CENTER DRIVE",
"address_2": "SUITE 200",
"city": "IRVINE",
"state": "CA",
"postal_code": "92618",
"telephone_number": "949-393-4219"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7545 IRVINE CENTER DR",
"address_2": "SUITE 200",
"city": "IRVINE",
"state": "CA",
"postal_code": "926182932",
"telephone_number": "949-393-4219"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WINGERT",
"first_name": "KATHLEEN",
"middle_name": "ROSE",
"credential": "BCN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-02-05",
"last_updated": "2016-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "E5661",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Irvine, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.