Active NPI
Wendy Sue Wakefield, DIETICIAN
- Registered Dietitian
- Oakland, MD
National Provider Identifier
1306160155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 11002
- Practice address
- 251 N 4TH St
Oakland, MD 21550-1375 - Phone
- (301) 533-4010
- Fax
- (301) 533-4208
- NPI assigned
- Mar 23, 2010
- Last updated
- Mar 23, 2010
- 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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 11002 | MD | Primary |
Addresses
Primary practice location
251 N 4TH St
Oakland, MD 21550-1375
Mailing address
2169 Maryland Line Rd
Bruceton Mills, WV 26525-6223
Phone (301) 533-4010
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 |
|---|---|---|---|
| 11002 | MD | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1269302400000",
"number": "1306160155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2169 MARYLAND LINE RD",
"city": "BRUCETON MILLS",
"state": "WV",
"postal_code": "265256223",
"telephone_number": "301-533-4010",
"fax_number": "301-533-4208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "251 N 4TH ST",
"city": "OAKLAND",
"state": "MD",
"postal_code": "215501375",
"telephone_number": "301-533-4010",
"fax_number": "301-533-4208"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAKEFIELD",
"first_name": "WENDY",
"middle_name": "SUE",
"credential": "DIETICIAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-03-23",
"last_updated": "2010-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MD",
"license": "11002",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oakland, MD
- Vitae Health Clinical Services Maryland LLC
- Vitae Health Medical Pennsylvania LLC
- Vital Solutions Lab Services, LLC
- Carol Huber Voelkel, P.T.
- Michael L Voelkel Jr., P.T.
- Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-2894)
- Wal-Mart Stores East, LP (Vision Center 30-2894)
- Charles A Walch, M.D., F.A.C.S.
- Walgreen Co (Walgreens #12266)
- Walgreen Co. (Walgreens #12266)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.