Individual provider Active NPI

Kayla Y. Wedel-Lobsinger

  • Case Manager/Care Coordinator
  • Perry, OK
National Provider Identifier
1790034007
Registry record updated Oct 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
502 N. 14TH St.
Perry, OK 73077
Phone
(918) 308-5512
NPI assigned
Aug 31, 2012
Last updated
Oct 14, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Counselor 225C00000X C082289433 OK
Case Manager/Care Coordinator 171M00000X Primary

Addresses

Primary practice location

502 N. 14TH St.
Perry, OK 73077

Mailing address

502 N. 14TH St.
Perry, OK 73077
Phone (918) 308-5512

Other practice location 1

526 Cumberland Trl
Enid, OK 73703-2110
Phone (405) 779-7112

Other practice location 2

15 Hillcrest St
Perry, OK 73077-7011
Phone (580) 491-7995

Other practice location 3

15 Hillcrest St
Perry, OK 73077-7011
Phone (580) 491-7995

Other names 1

  • Kayla Y. Wedel Former 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
C082289433OKMDRehabilitation Counselor

NPI Registry JSON

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

{
    "created_epoch": "1346371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571011200000",
    "number": "1790034007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 N. 14TH ST.",
            "city": "PERRY",
            "state": "OK",
            "postal_code": "73077",
            "telephone_number": "918-308-5512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 N. 14TH ST.",
            "city": "PERRY",
            "state": "OK",
            "postal_code": "73077",
            "telephone_number": "918-308-5512"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "526 Cumberland Trl",
            "address_purpose": "LOCATION",
            "city": "Enid",
            "state": "OK",
            "postal_code": "737032110",
            "country_code": "US",
            "telephone_number": "405-779-7112",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15 Hillcrest St",
            "address_purpose": "LOCATION",
            "city": "Perry",
            "state": "OK",
            "postal_code": "730777011",
            "country_code": "US",
            "telephone_number": "580-491-7995",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15 Hillcrest St",
            "address_purpose": "LOCATION",
            "city": "Perry",
            "state": "OK",
            "postal_code": "730777011",
            "country_code": "US",
            "telephone_number": "580-491-7995",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEDEL-LOBSINGER",
        "first_name": "KAYLA",
        "middle_name": "Y.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-31",
        "last_updated": "2019-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225C00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Counselor",
            "state": "OK",
            "license": "C082289433",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAYLA",
            "last_name": "WEDEL",
            "middle_name": "Y.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Perry, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2019; 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.