Wendi Lynn Conklin, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1646262 Issued in FL

Practice address

1006 W Pleasant St
Avon Park, FL 33825-2966

Phone

(863) 314-4357

NPI assigned

Jul 7, 2010

Last updated

Mar 21, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: wendi.conklin.1@19064.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mark a Ashby MD PA

  dba Florida Psychiatric Associates

  • Psychiatry Physician
  • Sebring, FL
  • NPI 1942458955
  Medicare reassignment NPD
• Banyan Sebring

  • Substance Abuse Rehabilitation Facility
  • Sebring, FL
  • NPI 1417690348
  NPD (past)

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

{
    "created_epoch": "1278460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363824000000",
    "number": "1396057337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 DIAMOND BAY DR",
            "city": "LAKE PLACID",
            "state": "FL",
            "postal_code": "338528954",
            "telephone_number": "863-465-4150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1006 W PLEASANT ST",
            "city": "AVON PARK",
            "state": "FL",
            "postal_code": "338252966",
            "telephone_number": "863-314-4357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONKLIN",
        "first_name": "WENDI",
        "middle_name": "LYNN",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-07",
        "last_updated": "2013-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "1646262",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL LICENSE # 1646262",
            "identifier": "1646262",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Choices Counseling Services LLC
• Makayla Ciavardone, AGACNP-BC
• Penney Cobb
• Sarah Ellen Cody, AGPCNP-BC
• Comprehensive Physical Therapy Care
• Javier Ernesto Corea, MD
• Carmen Corona Zavala, FNP-C
• Joy Renee Crunkelton, C.PH.T.
• Evelyn Cruz
• Chelsie Cuervo, DDS

• Family Nurse Practitioner in Avon Park, FL
• Providers in Avon Park, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.