Active NPI
Jennifer L Wheeler, LMT
- Contractor
- Adrian, MI
National Provider Identifier
1407240443
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- 7501002525
- Practice address
- 1801 W Maumee St
Suite 110
Adrian, MI 49221-1291 - Phone
- (734) 244-6022
- NPI assigned
- Mar 27, 2015
- 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 |
|---|---|---|---|---|
| Contractor | 171W00000X | 7501002525 | MI | Primary |
Addresses
Primary practice location
1801 W Maumee St
Suite 110
Adrian, MI 49221-1291
Mailing address
2861 Ashley Dr
Adrian, MI 49221-8787
Phone (734) 244-6022
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7501002525 | Other | MI | MICHIGAN LICENSE NUMBER |
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 |
|---|---|---|---|
| 7501002525 | MI | MD | Contractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488844800000",
"number": "1407240443",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2861 ASHLEY DR",
"city": "ADRIAN",
"state": "MI",
"postal_code": "492218787",
"telephone_number": "734-244-6022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1801 W MAUMEE ST",
"address_2": "SUITE 110",
"city": "ADRIAN",
"state": "MI",
"postal_code": "492211291",
"telephone_number": "734-244-6022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHEELER",
"first_name": "JENNIFER",
"middle_name": "L",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-03-27",
"last_updated": "2017-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "MI",
"license": "7501002525",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MICHIGAN LICENSE NUMBER",
"identifier": "7501002525",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Adrian, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.