Individual provider Active NPI

Eve Elise Wettstein, ED.S

  • School Psychologist
  • Tallahassee, FL
National Provider Identifier
1013579861
Registry record updated Jul 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
711 Issued in FL
Practice address
1801 N Meridian Rd Ste C
Tallahassee, FL 32303-5266
Phone
(850) 766-4426
Fax
(850) 523-0864
NPI assigned
Jul 2, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X 711 FL Primary

Addresses

Primary practice location

1801 N Meridian Rd Ste C
Tallahassee, FL 32303-5266

Mailing address

520 Beverly St
Tallahassee, FL 32301-2506
Phone (850) 766-4426

Other practice location 1

2139 Maryland Cir
Tallahassee, FL 32303-1001
Phone (850) 766-4426

Other names 1

  • Eve Elise Andrsen Former name

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

LicenseStateTypeSpecialty
711FLMDSchool Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Kristen L Schmidt PHD Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1562025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562025600000",
    "number": "1013579861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 BEVERLY ST",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323012506",
            "telephone_number": "850-766-4426",
            "fax_number": "850-523-0864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 N MERIDIAN RD STE C",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323035266",
            "telephone_number": "850-766-4426",
            "fax_number": "850-523-0864"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2139 Maryland Cir",
            "address_purpose": "LOCATION",
            "city": "Tallahassee",
            "state": "FL",
            "postal_code": "323031001",
            "country_code": "US",
            "telephone_number": "850-766-4426",
            "fax_number": "850-644-6591",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WETTSTEIN",
        "first_name": "EVE",
        "middle_name": "ELISE",
        "credential": "ED.S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-02",
        "last_updated": "2019-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "FL",
            "license": "711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EVE",
            "last_name": "ANDRSEN",
            "middle_name": "ELISE",
            "credential": "ED.S",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2019; 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.