E Estrella Wells, MS, CCC- SPL, LDT/C

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

1234 Issued in NJ

Practice address

50 Budd Ave
Pemberton, NJ 08068-1104

Phone

(609) 351-2316

Fax

(609) 726-1928

NPI assigned

Feb 8, 2011

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1297123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297123200000",
    "number": "1700182847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 BUDD AVE",
            "city": "PEMBERTON",
            "state": "NJ",
            "postal_code": "080681104",
            "telephone_number": "609-351-2316",
            "fax_number": "609-726-1928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 BUDD AVE",
            "city": "PEMBERTON",
            "state": "NJ",
            "postal_code": "080681104",
            "telephone_number": "609-351-2316",
            "fax_number": "609-726-1928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLS",
        "first_name": "E",
        "middle_name": "ESTRELLA",
        "name_prefix": "Mrs.",
        "credential": "MS, CCC- SPL, LDT/C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-08",
        "last_updated": "2011-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NJ",
            "license": "1234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Union Association of the Children's Home of Burlington County, Inc. (Legacy Treatment Services)
• Jennifer Vanness, ATC
• Vijay R Vaswani, MD
• Amanda Velez
• Laura Lynn Webster, CRNP
• Rachel I Welsh
• Ethan Wild
• Julia B Wolfrom, M.SA., M.S., CCC-SLP
• Judith Worgess
• Christine Zaccone, RN

• Student in an Organized Health Care Education/Training Program in Pemberton, NJ
• Providers in Pemberton, NJ by specialty
• Student in an Organized Health Care Education/Training Program in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2011; 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.