Active NPI
Kathy L Wehrle, R.D.
- Registered Dietitian
- Fort Wayne, IN
National Provider Identifier
1376859967
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 37000439A
- Practice address
- 11055 Twin Creeks CV
Fort Wayne, IN 46845-2204 - Phone
- (260) 425-6120
- Fax
- (260) 425-6115
- NPI assigned
- Aug 20, 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 | 37000439A | IN | Primary |
Addresses
Primary practice location
11055 Twin Creeks CV
Fort Wayne, IN 46845-2204
Mailing address
11109 Parkview Plaza Dr # 117
Fort Wayne, IN 46845-1701
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000675919 | Other | IN | ANTHEM -NEOB/GYN |
| 000000675940 | Other | IN | ANTHEM PFC |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37000439A | IN | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Parkview Hospital, Inc. | 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.
-
- Trauma Surgery Physician
- Fort Wayne, IN
- NPI 1669576997
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653004800000",
"number": "1376859967",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11109 PARKVIEW PLAZA DR # 117",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468451701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11055 TWIN CREEKS CV",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468452204",
"telephone_number": "260-425-6120",
"fax_number": "260-425-6115"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEHRLE",
"first_name": "KATHY",
"middle_name": "L",
"credential": "R.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-20",
"last_updated": "2022-05-20",
"certification_date": "2022-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "IN",
"license": "37000439A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM -NEOB/GYN",
"identifier": "000000675919",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PFC",
"identifier": "000000675940",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Wayne, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.