Active NPI
Wendelynn Kay Willson, LMT
- Massage Therapist
- Greenville, WI
National Provider Identifier
1306610381
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 5061-146
- Practice address
- W6905 Parkview Dr
Greenville, WI 54942-9099 - Phone
- (920) 757-9887
- Fax
- (920) 221-3337
- NPI assigned
- Nov 10, 2023
- Last updated
- Nov 10, 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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 5061-146 | WI | Primary |
Addresses
Primary practice location
W6905 Parkview Dr
Greenville, WI 54942-9099
Mailing address
N4351 Meade St
Appleton, WI 54913-9541
Phone (920) 450-0044
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 |
|---|---|---|---|
| 5061-146 | WI | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1699574400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699574400000",
"number": "1306610381",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "N4351 MEADE ST",
"city": "APPLETON",
"state": "WI",
"postal_code": "549139541",
"telephone_number": "920-450-0044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "W6905 PARKVIEW DR",
"city": "GREENVILLE",
"state": "WI",
"postal_code": "549429099",
"telephone_number": "920-757-9887",
"fax_number": "920-221-3337"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLSON",
"first_name": "WENDELYNN",
"middle_name": "KAY",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-11-10",
"last_updated": "2023-11-10",
"certification_date": "2023-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WI",
"license": "5061-146",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenville, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 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.