Individual provider Active NPI

Wendy June Jekel

  • Developmental Therapist
  • Fayetteville, NC
National Provider Identifier
1306139506
Registry record updated May 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental TherapistTaxonomy code 222Q00000X
Practice address
7014 Bronwyn St
Fayetteville, NC 28314-2850
Phone
(989) 245-8787
NPI assigned
May 20, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Therapist 222Q00000X Primary

Addresses

Primary practice location

7014 Bronwyn St
Fayetteville, NC 28314-2850

Mailing address

2708 NE 14TH St
Suite 5
Pompano Beach, FL 33062-3565
Phone (954) 603-7885

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

Practice roles

OrganizationSpecialtyStatusNew patients
Butterfly Effects Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1305849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305849600000",
    "number": "1306139506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2708 NE 14TH ST",
            "address_2": "SUITE 5",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330623565",
            "telephone_number": "954-603-7885",
            "fax_number": "954-342-0273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7014 BRONWYN ST",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283142850",
            "telephone_number": "989-245-8787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEKEL",
        "first_name": "WENDY",
        "middle_name": "JUNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-20",
        "last_updated": "2011-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.