Peter Jacob Wingerter, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

309733 Issued in NY

Practice address

163 Barlow St
Canastota, NY 13032-1201

Phone

(315) 720-0239

Fax

(315) 697-7038

NPI assigned

Jul 11, 2012

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

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": "1341964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341964800000",
    "number": "1982969366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 541",
            "city": "CANASTOTA",
            "state": "NY",
            "postal_code": "130320541",
            "telephone_number": "315-720-0239",
            "fax_number": "315-697-7038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "163 BARLOW ST",
            "city": "CANASTOTA",
            "state": "NY",
            "postal_code": "130321201",
            "telephone_number": "315-720-0239",
            "fax_number": "315-697-7038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINGERTER",
        "first_name": "PETER",
        "middle_name": "JACOB",
        "name_prefix": "Mr.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-11",
        "last_updated": "2012-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "309733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walgreen Co
• Tya Warner
• Kelly Weaver, MD
• Kathryn Lynn Wilmot
• Sabrina Wing, LCSW
• Maizie Jo Zamlowski, OTR/L

• Licensed Practical Nurse in Canastota, NY
• Providers in Canastota, 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 Jul 11, 2012; 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.