Wepellet Bradenton LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

0S10018 Issued in FL

Legal business name

WEPELLET BRADENTON LLC

Practice address

1003 8TH Ave W
Bradenton, FL 34205-7709

Phone

(833) 937-3553

NPI assigned

Dec 26, 2017

Organization subpart

Yes

Parent organization

WEPELLET LLCAs reported in NPPES

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

Authorized official

Name

Jaclyn Shedden, ARNP

Title

Director of Clinical Services

Phone

(833) 939-3553

Specialties & licenses 1

Addresses

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/16937/brand/1/csg/1/fhir/r4

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jodie Lynn Dodge, ARNP-C

  • Family Nurse Practitioner
  • Bradenton, FL
  • NPI 1639604556
  NPD (past)

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

{
    "created_epoch": "1514246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1514246400000",
    "number": "1124534342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1003 8TH AVE W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342057709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 8TH AVE W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342057709",
            "telephone_number": "833-937-3553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEPELLET BRADENTON LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WEPELLET LLC",
        "enumeration_date": "2017-12-26",
        "last_updated": "2017-12-26",
        "status": "A",
        "authorized_official_last_name": "SHEDDEN",
        "authorized_official_first_name": "JACLYN",
        "authorized_official_title_or_position": "DIRECTOR OF CLINICAL SERVICES",
        "authorized_official_telephone_number": "833-939-3553",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "0S10018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wellness Concepts of Florida
• Wellness Seminars, Inc
• Floyd W Wells, M.D.
• Wendy Blumenthal, PH.D.
• Andrew Joseph Wengert, D.C.
• Ashley Elizabeth Werden
• Andrzej Werner, PT
• West Bradenton Dental Care PA
• West Bradenton Therapy Services Inc
• West Coast - Southern Medical Service Inc

• Clinic/Center in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2017; 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.