Individual Healthcare Provider
Carol Lydia Wiediger, APRN
Provider's NPPES record last updated: November 14, 2023
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1033285242
- Primary Specialty
- Nurse Practitioner — Psychiatric/Mental Health
- Practice Location
- Port Huron, Michigan
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 19, 2026, 8:14 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Nurse Practitioner
Psychiatric/Mental Health
Physician Assistants & Advanced Practice Nursing Providers
Definition to come...
Taxonomy code 363LP0808X Clinical Nurse Specialist
Physician Assistants & Advanced Practice Nursing Providers
A registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration.
Taxonomy code 364S00000X
Provider-Reported License Information
- Nurse Practitioner (Oregon)
- 202201526NP-PP
- Nurse Practitioner (Michigan)
- 4704367059
- Nurse Practitioner (New York)
- 403445
- Clinical Nurse Specialist (Connecticut)
- 000886
Practice Locations
Practice Location
3111 Electric Ave
Port Huron, Michigan 48060-8127
Phone: (810) 985-8900
Additional Practice Location
500 Vine Street
Capitol Region Mental Health Center
Hartford, Connecticut 06112
Phone: (860) 297-0905
Fax: (860) 297-0914
Record Information
- Enumeration Date
- November 28, 2006
- Provider's NPPES Record Last Updated
- November 14, 2023
- Certification Date
- November 14, 2023
- NPISignal NPPES Dataset
- August 2026
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