Active NPI
Brittney Joy Wenrich, ATC,LAT,MS,CES
- Athletic Trainer
- Watkinsville, GA
National Provider Identifier
1285117127
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- Practice address
- 2721 Hog Mountain Rd
Watkinsville, GA 30677-4818 - Phone
- (706) 769-6655
- NPI assigned
- Sep 6, 2018
- Last updated
- Sep 20, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | Primary |
Addresses
Primary practice location
2721 Hog Mountain Rd
Watkinsville, GA 30677-4818
Mailing address
1031 Station Dr
Watkinsville, GA 30677-5113
Phone (706) 202-0477
Other practice location 1
1305 Jennings Mill Rd
Watkinsville, GA 30677-7238
Phone (706) 410-2005
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| UIK143A73446 | Other | GA | BLUECROSS BLUESHIELD |
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
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695168000000",
"number": "1285117127",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1031 STATION DR",
"city": "WATKINSVILLE",
"state": "GA",
"postal_code": "306775113",
"telephone_number": "706-202-0477"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2721 HOG MOUNTAIN RD",
"city": "WATKINSVILLE",
"state": "GA",
"postal_code": "306774818",
"telephone_number": "706-769-6655"
}
],
"practiceLocations": [
{
"address_1": "1305 Jennings Mill Rd",
"address_purpose": "LOCATION",
"city": "Watkinsville",
"state": "GA",
"postal_code": "306777238",
"country_code": "US",
"telephone_number": "706-410-2005",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WENRICH",
"first_name": "BRITTNEY",
"middle_name": "JOY",
"name_prefix": "Ms.",
"credential": "ATC,LAT,MS,CES",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-06",
"last_updated": "2023-09-20",
"certification_date": "2023-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS BLUESHIELD",
"identifier": "UIK143A73446",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Watkinsville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.