Wendy Kearney, BA SOCIOLOGY

Primary specialty

CounselorTaxonomy code 101Y00000X

License

200427950A Issued in OK

Practice address

6816 Decon Ave Apt 202
Oklahoma City, OK 73132-6100

Phone

(919) 559-5741

NPI assigned

Jun 11, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Arts

State licenses

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

{
    "created_epoch": "1339372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339372800000",
    "number": "1518229111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5929 N MAY AVE STE 218",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731123925",
            "telephone_number": "405-642-4871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6816 DECON AVE APT 202",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731326100",
            "telephone_number": "919-559-5741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEARNEY",
        "first_name": "WENDY",
        "credential": "BA SOCIOLOGY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-11",
        "last_updated": "2012-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OK",
            "license": "200427950A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200427950A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kaylee D Terrell PLLC
• Faustino Mires Kazenske, D.O.
• KB Dentistry PLLC (Dental Express)
• Kci USA, Inc. (3M Medical Solutions)
• Keisha Kearney
• Keetra Kearns
• Jadiamond Kearse
• Shellie Lucille Keast, D.PH., PHARM.D.
• Jessica Keaster, APRN,CNP
• Landon Austin Keaster, D.D.S

• Counselor in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2012; 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.