Active NPI
Whitney L. Wendt, PA-C
- Physician Assistant
- Arlington, TX
National Provider Identifier
1194080531
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA07963
- Practice address
- 3533 Matlock Road
Arlington, TX 76015-3604 - Phone
- (817) 419-0303
- Fax
- (817) 419-0303
- NPI assigned
- Jul 11, 2012
- Last updated
- Jun 8, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 07963 | TX | |
| Physician Assistant | 363A00000X | PA07963 | TX | Primary |
Addresses
Primary practice location
3533 Matlock Road
Arlington, TX 76015-3604
Mailing address
3533 Matlock Road
Arlington, TX 76015-3604
Phone (817) 419-0303
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)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 07963 | TX | MD | Physician Assistant |
| PA07963 | TX | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tmi Sports Medicine and Orthopedic Surgery PA | Past | Accepting new patients |
Interoperability endpoints
- whitney.wendt.1@25955.direct.athenahealth.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Orthopaedic Surgery Physician
- Arlington, TX
- NPI 1972582690
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1433721600000",
"number": "1194080531",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3533 MATLOCK ROAD",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760153604",
"telephone_number": "817-419-0303",
"fax_number": "817-468-5963"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3533 MATLOCK ROAD",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760153604",
"telephone_number": "817-419-0303",
"fax_number": "817-419-0303"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WENDT",
"first_name": "WHITNEY",
"middle_name": "L.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-11",
"last_updated": "2015-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "07963",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA07963",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Arlington, TX
- Wellcare Health Network Inc (Wellcare Home Health Services)
- Wellness Connect Healthcare PLLC
- Wellness Counseling Services, LLC
- Wellspring Psychological Associates, P.L.L.C.
- Abigail Rose Wendler
- Yaochung Weng, M.D., PH.D.
- Michelle Werner, RD LD
- West Park Clinic
- West Park Row Dental
- Cynthia Lynn West, LAT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.