Active NPI
Jonathan Wenk
- Nurse's Aide
- Frederica, DE
National Provider Identifier
1164969085
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- License
- DE0000006735
- Practice address
- 6 North Market St
Frederica, DE 19946 - Phone
- (302) 841-8272
- NPI assigned
- Jan 30, 2017
- Last updated
- Jan 30, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Companion | 372600000X | |||
| Personal Care Attendant | 3747P1801X | |||
| Home Health Aide | 374U00000X | |||
| Nurse's Aide | 376K00000X | DE0000006735 | DE | Primary |
Addresses
Primary practice location
6 North Market St
Frederica, DE 19946
Mailing address
PO Box 853
Frederica, DE 19946-0853
Phone (302) 841-8272
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 |
|---|---|---|---|
| DE0000006735 | DE | MD | Nurse's Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1485734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485734400000",
"number": "1164969085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 853",
"city": "FREDERICA",
"state": "DE",
"postal_code": "199460853",
"telephone_number": "302-841-8272"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 NORTH MARKET ST",
"city": "FREDERICA",
"state": "DE",
"postal_code": "19946",
"telephone_number": "302-841-8272"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WENK",
"first_name": "JONATHAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-01-30",
"last_updated": "2017-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "372600000X",
"taxonomy_group": "",
"desc": "Adult Companion",
"state": null,
"license": null,
"primary": false
},
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": null,
"license": null,
"primary": false
},
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": false
},
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "DE",
"license": "DE0000006735",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Frederica, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.