Jennifer D Wenkel

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP008276 Issued in GA

Practice address

1291 S Houston Lake Rd Ste G
Warner Robins, GA 31088-2745

Phone

(478) 900-1100

Fax

(478) 900-1100

NPI assigned

Oct 3, 2013

Sex

Female

Sole proprietor

No

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

State licenses

Practice roles

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

• Impact Therapy of Georgia

  • Speech-Language Pathologist
  • Warner Robins, GA
  • NPI 1013360601
  NPD (past) Authorized official

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

{
    "created_epoch": "1380758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660608000000",
    "number": "1801223979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1291 S HOUSTON LAKE RD STE G",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310882745",
            "telephone_number": "478-333-2999",
            "fax_number": "478-900-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1291 S HOUSTON LAKE RD STE G",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310882745",
            "telephone_number": "478-900-1100",
            "fax_number": "478-900-1100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "114 Constitution Dr",
            "address_2": "Suite 800",
            "address_purpose": "LOCATION",
            "city": "Warner Robins",
            "state": "GA",
            "postal_code": "310888001",
            "country_code": "US",
            "telephone_number": "478-333-6363",
            "fax_number": "478-333-6076",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WENKEL",
        "first_name": "JENNIFER",
        "middle_name": "D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-03",
        "last_updated": "2022-08-16",
        "certification_date": "2022-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP008276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Santresa Weldon
• Wellpoint Medical Services, PC
• Tina Wells-Lowe
• Christopher Wells, NP
• Wellspring Wellness Center
• Werner Behavioral Health Center
• Robert Stephen Werner, LPC
• Brittany Somerly West, CNA
• Debbie West, M.D.
• Wheeler Chiropractic Center Inc

• Speech-Language Pathologist in Warner Robins, GA
• Providers in Warner Robins, GA by specialty
• Speech-Language Pathologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.