Active NPI
Kyungyee Wells, MD
- Pediatrics Physician
- Methuen, MA
National Provider Identifier
1487744363
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 45741
- Practice address
- 135 Lowell Street
Methuen, MA 01844-3696 - Phone
- (978) 687-2119
- Fax
- (978) 687-9688
- NPI assigned
- Oct 13, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 45741 | MA | Primary |
Addresses
Primary practice location
135 Lowell Street
Methuen, MA 01844-3696
Mailing address
135 Lowell Street
Methuen, MA 01844-3696
Phone (978) 687-2119
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9904641 | Other | NH | MEDICAID |
| 9727094 | Medicaid | MA |
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 45741 | MA | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1487744363",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "135 LOWELL STREET",
"city": "METHUEN",
"state": "MA",
"postal_code": "018443696",
"telephone_number": "978-687-2119",
"fax_number": "978-687-9688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "135 LOWELL STREET",
"city": "METHUEN",
"state": "MA",
"postal_code": "018443696",
"telephone_number": "978-687-2119",
"fax_number": "978-687-9688"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELLS",
"first_name": "KYUNGYEE",
"name_prefix": "Mrs.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MA",
"license": "45741",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID",
"identifier": "9904641",
"state": "NH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9727094",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Methuen, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.