Dennel R Wildey, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95014978 Issued in CA

Practice address

683 Lomas Santa Fe Dr
Solana Beach, CA 92075-1412

Phone

(858) 755-6697

NPI assigned

Jan 25, 2021

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)

Enrolled

Credentials

Nurse Practitioner

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

{
    "created_epoch": "1611532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673481600000",
    "number": "1043800899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "683 LOMAS SANTA FE DR",
            "city": "SOLANA BEACH",
            "state": "CA",
            "postal_code": "920751412",
            "telephone_number": "858-755-6697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "683 LOMAS SANTA FE DR",
            "city": "SOLANA BEACH",
            "state": "CA",
            "postal_code": "920751412",
            "telephone_number": "858-755-6697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILDEY",
        "first_name": "DENNEL",
        "middle_name": "R",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-25",
        "last_updated": "2023-01-12",
        "certification_date": "2021-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95014978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ilah Cavanaugh Welch, PT, DPT
• Christauria Gillian Welland-Akong, PSY.D.
• Emily Wells, L.AC
• Christopher Terry Wepsic, D.D.S.
• Michael White, DACM
• Stephanie Williams, DPT
• Stephanie C Williams, PA-C
• Bradley Paul Wilson, D.D.S.
• Morgan Wolf, DNP, FNP, AGNP
• Qiu Xie, M.S

• Family Nurse Practitioner in Solana Beach, CA
• Providers in Solana Beach, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2023; 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.