Individual provider Active NPI

Peyton Wohlwender

  • Pediatric Nurse Practitioner
  • Ocala, FL
National Provider Identifier
1417533530
Registry record updated Mar 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
11012212 Issued in FL
Practice address
2650 NW 2ND St # 100
Ocala, FL 34475-6234
Phone
(352) 237-5400
NPI assigned
Mar 19, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 11012212 FL Primary

Addresses

Primary practice location

2650 NW 2ND St # 100
Ocala, FL 34475-6234

Mailing address

318 Trieste Dr
Punta Gorda, FL 33950-8049

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
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11012212FLMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kids Health Alliance PA CurrentSince Jan 22, 2023 Accepting new patients
Pediatric Associates PSC Pediatrics Past Accepting new patients

Locations

2650 NW 2nd St
#100
Ocala, FL 34475
Phone (352) 237-5400

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1616112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616112000000",
    "number": "1417533530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 TRIESTE DR",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339508049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 NW 2ND ST # 100",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344756234",
            "telephone_number": "352-237-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOHLWENDER",
        "first_name": "PEYTON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-19",
        "last_updated": "2021-03-19",
        "certification_date": "2021-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "FL",
            "license": "11012212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.