Wentworth Healthcare LLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

WENTWORTH HEALTHCARE LLC

Practice address

2136 Noel Dr SW
Huntsville, AL 35803-2086

Phone

(256) 469-0015

NPI assigned

Apr 24, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Joseph Bailey, NPNPI 1174986699

Title

Ceo/Owner

Phone

(256) 469-0015

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joseph Bailey, AGPCNP-BC, WHNP-BC

  • Nurse Practitioner
  • Huntsville, AL
  • NPI 1174986699
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1682294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713830400000",
    "number": "1558058057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 WHITESBURG DR",
            "address_2": "ST 30. #186",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358021600",
            "fax_number": "509-495-1142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2136 NOEL DR SW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358032086",
            "telephone_number": "256-469-0015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WENTWORTH HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-24",
        "last_updated": "2024-04-23",
        "certification_date": "2024-04-23",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "256-469-0015",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Sue Wendell, CRNA
• Terry Dale Wendell II, CRNA
• Rebecca Wendland, LMT
• Kaitlyn Wendolowski, CRNP
• Tessa Marie Wensyel
• Mary Kathryn Werdehoff, NP-C
• Steven G Werdehoff, MD
• Kerry Patrick Wermuth, DMD
• Kaitlin Werth, MS, CCC-SLP
• Elizabeth Anne Wessel, CRNP

• Nurse Practitioner in Huntsville, AL
• Providers in Huntsville, AL by specialty
• Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.