Individual provider Active NPI

Haylee M Wilkening, OTD, OTR/L

  • Occupational Therapist
  • Clive, IA
National Provider Identifier
1699402503
Registry record updated Aug 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
087775 Issued in IA
Practice address
8810 Swanson Blvd
Clive, IA 50325-6910
Phone
(641) 750-1261
NPI assigned
Aug 2, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 087775 IA Primary

Addresses

Primary practice location

8810 Swanson Blvd
Clive, IA 50325-6910

Mailing address

240 Bel Aire Dr
Waukee, IA 50263-9772
Phone (641) 750-1261

Other names 1

  • Dr. Haylee M Wilkening Professional name

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
087775IAMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1659398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659398400000",
    "number": "1699402503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 BEL AIRE DR",
            "city": "WAUKEE",
            "state": "IA",
            "postal_code": "502639772",
            "telephone_number": "641-750-1261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8810 SWANSON BLVD",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "503256910",
            "telephone_number": "641-750-1261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKENING",
        "first_name": "HAYLEE",
        "middle_name": "M",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-02",
        "last_updated": "2022-08-02",
        "certification_date": "2022-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IA",
            "license": "087775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HAYLEE",
            "last_name": "WILKENING",
            "middle_name": "M",
            "prefix": "DR.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Clive, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2022; 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.