Daris Wienk

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

15210 Amberly Dr Apt 1628
Tampa, FL 33647-2193

Phone

(239) 682-6835

NPI assigned

Nov 28, 2022

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": "1669593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669593600000",
    "number": "1093425415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15210 AMBERLY DR APT 1628",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336472193",
            "telephone_number": "239-682-6835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15210 AMBERLY DR APT 1628",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336472193",
            "telephone_number": "239-682-6835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIENK",
        "first_name": "DARIS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-28",
        "last_updated": "2022-11-28",
        "certification_date": "2022-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara Wieckowski
• John Lung Wiegand, MD
• Harvey M Wiener, DO
• Jameson Grant Daria Wiener
• Todd J. Wiener, D.M.D.
• Joanne Wierda
• John A. Wiest, D.D.S.
• Sarah Wiggin, LMHC
• Brianne Wiggins
• Wendy Wightman, NP

• Athletic Trainer in Tampa, FL
• Providers in Tampa, FL by specialty
• Athletic Trainer in Florida

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