Wendy Sue Fetter

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

05400 Issued in OH

Practice address

25 W Pleasant St
Springfield, OH 45506-2278

Phone

(937) 325-7671

NPI assigned

Aug 18, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Wendy Sue Williams Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Clark County Educational Service Center

  • Local Education Agency (LEA)
  • Springfield, OH
  • NPI 1114324332
  NPD (past)

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

{
    "created_epoch": "1439856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439856000000",
    "number": "1306212972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6425 NEW CARLISLE PIKE",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455043236",
            "telephone_number": "419-234-4833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 W PLEASANT ST",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455062278",
            "telephone_number": "937-325-7671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FETTER",
        "first_name": "WENDY",
        "middle_name": "SUE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-18",
        "last_updated": "2015-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "OH",
            "license": "05400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WENDY",
            "last_name": "WILLIAMS",
            "middle_name": "SUE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rex A Fent
• Cathy Ferguson, L.P.N.
• Ruby Ferguson
• Lia Ferrell
• Tracy L Ferrell, LMT
• Anthony Nelson Fick
• Susan Marie Fiegl, LSW,LICDC
• Benjamin Fielder
• Jennifer Fielder
• Tiffany Fields

• Occupational Therapy Assistant in Springfield, OH
• Providers in Springfield, OH by specialty
• Occupational Therapy Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.

Verify at the official NPI Registry.