Active NPI
Jayna Meyer Wettlin, MSP, CCC-SLP
- Speech-Language Pathologist
- Spartanburg, SC
National Provider Identifier
1104595982
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 7373
- Practice address
- 128 Garner Rd
Spartanburg, SC 29303-3149 - Phone
- (864) 591-3484
- NPI assigned
- Sep 7, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 7373 | SC | Primary |
Addresses
Primary practice location
128 Garner Rd
Spartanburg, SC 29303-3149
Mailing address
440 Log Shoals Rd
Greenville, SC 29607-5012
Phone (864) 275-8956
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
| License | State | Type | Specialty |
|---|---|---|---|
| 7373 | SC | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Better Beginnings, Inc | Multi-Specialty | Current | Accepting new patients |
Locations
128 Garner Rd
Spartanburg, SC 29303
Phone (864) 591-3484
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.
-
- Pediatric Occupational Therapist
- Spartanburg, SC
- NPI 1124164702
Multi-Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630972800000",
"number": "1104595982",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "440 LOG SHOALS RD",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296075012",
"telephone_number": "864-275-8956"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "128 GARNER RD",
"city": "SPARTANBURG",
"state": "SC",
"postal_code": "293033149",
"telephone_number": "864-591-3484"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WETTLIN",
"first_name": "JAYNA",
"middle_name": "MEYER",
"name_prefix": "Mrs.",
"credential": "MSP, CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-09-07",
"last_updated": "2021-09-07",
"certification_date": "2021-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "SC",
"license": "7373",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Spartanburg, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 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.