NPIMap

Individual provider Active NPI

Laura Wells

  • School Psychologist
  • Odessa, DE
National Provider Identifier
1568831055
Registry record updated Sep 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
80488 Issued in DE
Practice address
313 S 5TH St
Odessa, DE 19730-2078
Phone
(302) 376-4128
NPI assigned
Sep 15, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X 80488 DE Primary

Addresses

Primary practice location

313 S 5TH St
Odessa, DE 19730-2078

Mailing address

313 S 5TH St
PO Box 4010
Odessa, DE 19730-2078

Other identifiers 1

IdentifierTypeStateIssuer
80488OtherDESTATE LICENSE

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

State licenses

LicenseStateTypeSpecialty
80488DEMDSchool Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
State of Delaware Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1442275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442275200000",
    "number": "1568831055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 S 5TH ST",
            "address_2": "PO BOX 4010",
            "city": "ODESSA",
            "state": "DE",
            "postal_code": "197302078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 S 5TH ST",
            "city": "ODESSA",
            "state": "DE",
            "postal_code": "197302078",
            "telephone_number": "302-376-4128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLS",
        "first_name": "LAURA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-15",
        "last_updated": "2015-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "DE",
            "license": "80488",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "80488",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Odessa, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2015; 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.