Individual provider Active NPI

Karen Ann Wedlock, RN,CDE

  • Diabetes Educator Registered Nurse
  • Saint Joseph, MO
National Provider Identifier
1366641847
Registry record updated Apr 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diabetes Educator Registered NurseTaxonomy code 163WD0400X
License
109982 Issued in MO
Practice address
901 Heartland Rd.,
Ste. 4860
Saint Joseph, MO 64506-6202
Phone
(816) 271-6700
Fax
(816) 271-6701
NPI assigned
Jul 13, 2007
Last updated
Apr 25, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diabetes Educator Registered Nurse 163WD0400X 109982 MO Primary

Addresses

Primary practice location

901 Heartland Rd.,
Ste. 4860
Saint Joseph, MO 64506-6202

Mailing address

901 Heartland Rd.,
Ste. 4860
Saint Joseph, MO 64506-6202
Phone (816) 271-6700

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
109982MOMDDiabetes Educator Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1184284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398384000000",
    "number": "1366641847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 HEARTLAND RD.,",
            "address_2": "STE. 4860",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645066202",
            "telephone_number": "816-271-6700",
            "fax_number": "816-271-6701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 HEARTLAND RD.,",
            "address_2": "STE. 4860",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645066202",
            "telephone_number": "816-271-6700",
            "fax_number": "816-271-6701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEDLOCK",
        "first_name": "KAREN",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "RN,CDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-13",
        "last_updated": "2014-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "MO",
            "license": "109982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Joseph, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2014; 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.