Kelly Marie Wemken

Primary specialty

Health & Wellness CoachTaxonomy code 171400000X

Practice address

4300 58TH St N Apt 1808
Kenneth City, FL 33709-5343

Phone

(847) 450-8414

NPI assigned

Jan 13, 2022

Last updated

Feb 28, 2022By the provider in NPPES

Sex

Female

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": "1642032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646006400000",
    "number": "1013668797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 58TH ST N APT 1808",
            "city": "KENNETH CITY",
            "state": "FL",
            "postal_code": "337095343",
            "telephone_number": "847-450-8414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 58TH ST N APT 1808",
            "city": "KENNETH CITY",
            "state": "FL",
            "postal_code": "337095343",
            "telephone_number": "847-450-8414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEMKEN",
        "first_name": "KELLY",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-13",
        "last_updated": "2022-02-28",
        "certification_date": "2022-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Verlyrose Christine Taruc Torres, PT
• Rosmeury Venero Rodriguez
• Elizabeth Watson, PT, DPT
• Jason Jeremy Weber, PTA
• Kathryn S. Wefel, MS, CCC-SLP
• Dawn Willey Earls, LCSW
• Dawn M Williams, LMT
• Rena Gentle Hope Williams, FNP
• Mili Maria Xavier, FNP
• Joseph R Zucco, PT

• Health & Wellness Coach in Kenneth City, FL
• Providers in Kenneth City, FL by specialty
• Health & Wellness Coach in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2022; 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.