Wendy Lynn Wilkerson, MFP-C

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Practice address

4402 Princess Anne Rd Ste 105
Virginia Beach, VA 23462-7908

Phone

(619) 392-7572

NPI assigned

Mar 17, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1615939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626307200000",
    "number": "1033794466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2209 FORT BELVOIR DR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234648786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4402 PRINCESS ANNE RD STE 105",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234627908",
            "telephone_number": "619-392-7572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKERSON",
        "first_name": "WENDY",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "MFP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-17",
        "last_updated": "2021-07-15",
        "certification_date": "2021-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Y00000X",
            "taxonomy_group": "",
            "desc": "Clinical Exercise Physiologist",
            "state": "VA",
            "license": "98893623",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Http://www.mywelld.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1205 Rixtown Ct",
            "city": "Chesapeake",
            "state": "VA",
            "country_code": "US",
            "postal_code": "233229094",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Charles D Wilder, MD
• Phyllis Wilder, RN
• Brooklyn Marie Wildman, PT, DPT
• Roger P Wiley Jr., M.D.
• Jessica Wilhelm, CSA
• Angela A Wilkins, PHD
• Steven Rowland Wilkins, O.D.
• Braxton Reid Wilkinson
• Brooke Rae Totzeck Wilkinson
• Nicole Wilkinson

• Durable Medical Equipment & Medical Supplies in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Durable Medical Equipment & Medical Supplies in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2021; 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.