Grace Lora Wetzel

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

2288 Blue Water Blvd Ste 310
Odenton, MD 21113-3301

Phone

(844) 854-1116

NPI assigned

Jan 16, 2023

Last updated

Jan 17, 2023By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1673827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673913600000",
    "number": "1427763374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 S DOUGLAS RD STE 230",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331344108",
            "telephone_number": "844-854-1116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2288 BLUE WATER BLVD STE 310",
            "city": "ODENTON",
            "state": "MD",
            "postal_code": "211133301",
            "telephone_number": "844-854-1116"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "102 Magnolia Ave",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "MD",
            "postal_code": "211224337",
            "country_code": "US",
            "telephone_number": "443-929-4254",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WETZEL",
        "first_name": "GRACE",
        "middle_name": "LORA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-16",
        "last_updated": "2023-01-17",
        "certification_date": "2023-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Weinstein Eye Associates LLC
• Melinda S Weinstein, OD
• Evelyn Weinstock
• Nickeisha Wellington
• Wellness in Christ Counseling and Formation Center, LLC
• Samantha Wheatley
• Kari Lynn Whelan, LCPC
• Isabella Victoria White
• Jannae White, DNP
• Whole Chiropractic Healthcare, LLC

• Behavior Technician in Odenton, MD
• Providers in Odenton, MD by specialty
• Behavior Technician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2023; 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.