Jennifer A Wienke, OTR

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

4903 Issued in CA

Practice address

151 N Sunrise Ave
Roseville, CA 95661-2924

Phone

(916) 771-8255

NPI assigned

Oct 22, 2009

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)

Enrolled

Practice roles

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.

• Jabbergym, LLC

  • Speech-Language Pathologist
  • Sacramento, CA
  • NPI 1114685658

  Pediatrics

  NPD (past)
• Jabbergym, LLC

  • Speech-Language Pathologist
  • Sacramento, CA
  • NPI 1356009898

  Pediatrics

  NPD (past)

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

{
    "created_epoch": "1256169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479340800000",
    "number": "1447586698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 NORTH SUNRISE AVA SUITE 1105",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "95661",
            "telephone_number": "916-771-8255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 N SUNRISE AVE",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956612924",
            "telephone_number": "916-771-8255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIENKE",
        "first_name": "JENNIFER",
        "middle_name": "A",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-22",
        "last_updated": "2016-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "CA",
            "license": "4903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Whitney, LMFT
• Robert K. Whitson, MD
• Kristine Widger, MHRS
• Mary Kate Wiederhold
• Denise Wieland
• Laurie Wiggen, PSYD
• Rachel Wiggs
• Stephanie Wigley, AMFT
• Wijit, Inc.
• Cheryl Dolores Wiker

• Pediatric Occupational Therapist in Roseville, CA
• Providers in Roseville, CA by specialty
• Pediatric Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2016; 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.