Individual provider
COLLEEN MARIE WIESE, DDS
CMS NPPES lists COLLEEN MARIE WIESE as an individual provider record with NPI 1386273878. The current record reports a primary practice location in ALACHUA, FL and primary taxonomy code 122300000X.
Type 1 NPIs identify individual healthcare providers. How to read this profile
01
Practice locations
- Primary practice location14690 NW 151ST BLVD # 20ALACHUA, FL 326155328
- Additional practice location1601 SW Archer RdGainesville, FL 326081135
Only source-designated practice locations are shown here. Mailing addresses are not presented as practice locations.
02
Taxonomy information
390200000XAdditional reported taxonomy122300000XPrimary reported taxonomy
Taxonomy codes describe provider classifications reported to NPPES. Repeated identical codes are shown once, with primary-reported status preserved. They are not licenses, certifications, quality measures, or NPIFolio specialty labels. Read the taxonomy methodology.
03
NPI record information
- NPI status
- Enumerated in NPPES
- Enumeration date
- April 6, 2020
An NPI is a federal identifier. Enumeration and lifecycle information does not establish medical-license status, current practice, disciplinary history, provider quality, or whether a provider is accepting patients.