Melissa Ilene Wenters, AU D

Primary specialty

AudiologistTaxonomy code 231H00000X

License

AU825 Issued in CA

Practice address

104 Fairview Ave
Piedmont, CA 94610-1060

Phone

(510) 655-2694

Fax

(510) 655-2694

NPI assigned

Jun 20, 2006

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313625600000",
    "number": "1144266057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 FAIRVIEW AVE",
            "city": "PIEDMONT",
            "state": "CA",
            "postal_code": "946101060",
            "telephone_number": "510-325-1532",
            "fax_number": "510-655-2694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 FAIRVIEW AVE",
            "city": "PIEDMONT",
            "state": "CA",
            "postal_code": "946101060",
            "telephone_number": "510-655-2694",
            "fax_number": "510-655-2694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENTERS",
        "first_name": "MELISSA",
        "middle_name": "ILENE",
        "name_prefix": "Ms.",
        "credential": "AU D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-20",
        "last_updated": "2011-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CA",
            "license": "AU825",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1144266057",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AU0008250",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• VVS Primary Care Medical Group (Piedmont Primary Care)
• VVS Primary Care Medical Group, Inc. (Piedmont Primary Care)
• Jonathan Chu Wang
• Patricia French Wede, R.N., GNP
• Jennifer Faust Weinstein, PSYD
• Adrian Lloyd Willey, MA
• Mira Louise Wollenberg
• Matthew John Wynn, PHD
• Janice Gail Yee, LICENSED MFT

• Audiologist in Piedmont, CA
• Providers in Piedmont, CA by specialty
• Audiologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2011; 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.