Individual provider Active NPI

Peyton Darbi Wedel, CCC-SLP

  • Speech-Language Pathologist
  • Wichita, KS
National Provider Identifier
1396419644
Registry record updated Aug 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
4741 Issued in KS
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

Updated by the provider on Aug 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 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

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
4741KSMDClinical 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.

Verify at the official NPI Registry.