Active NPI
Peyton Darbi Wedel, CCC-SLP
- Speech-Language Pathologist
- Wichita, KS
National Provider Identifier
1396419644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 4741
- Practice address
- 560 N Exposition St
Wichita, KS 67203-5902 - Phone
- (316) 618-1252
- NPI assigned
- Aug 2, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 4741 | KS | Primary |
Addresses
Primary practice location
560 N Exposition St
Wichita, KS 67203-5902
Mailing address
560 N Exposition St
Wichita, KS 67203-5902
Phone (316) 618-1252
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | SOAP |
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 |
|---|---|---|---|
| 4741 | KS | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1627862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628035200000",
"number": "1396419644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "560 N EXPOSITION ST",
"city": "WICHITA",
"state": "KS",
"postal_code": "672035902",
"telephone_number": "316-618-1252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "560 N EXPOSITION ST",
"city": "WICHITA",
"state": "KS",
"postal_code": "672035902",
"telephone_number": "316-618-1252"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEDEL",
"first_name": "PEYTON",
"middle_name": "DARBI",
"credential": "CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-08-02",
"last_updated": "2021-08-04",
"certification_date": "2021-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "KS",
"license": "4741",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "SOAP",
"affiliation": "N",
"address_1": "560 N Exposition St",
"city": "Wichita",
"state": "KS",
"country_code": "US",
"postal_code": "672035902",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Wichita, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.