Individual provider Active NPI

Abigail Binette Wendehack, PA-C

  • Student in an Organized Health Care Education/Training Program
  • Bristol, CT
National Provider Identifier
1801707674
Registry record updated Sep 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
22 Pine St Ste 104
Bristol, CT 06010-6949
Phone
(860) 584-8291
Fax
(860) 584-8359
NPI assigned
Sep 14, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X CT Primary

Addresses

Primary practice location

22 Pine St Ste 104
Bristol, CT 06010-6949

Mailing address

22 Pine St Ste 104
Bristol, CT 06010-6949
Phone (860) 584-8291

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1789344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789344000000",
    "number": "1801707674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 PINE ST STE 104",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "060106949",
            "telephone_number": "860-584-8291",
            "fax_number": "860-584-8359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 PINE ST STE 104",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "060106949",
            "telephone_number": "860-584-8291",
            "fax_number": "860-584-8359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENDEHACK",
        "first_name": "ABIGAIL",
        "middle_name": "BINETTE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-14",
        "last_updated": "2026-09-14",
        "certification_date": "2026-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bristol, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.