Oletha G Wellon-Dames

Primary specialty

DriverTaxonomy code 172A00000X

License

D520 Issued in FL

Practice address

139 Bob Thomas Cir
Sanford, FL 32771-3096

Phone

(407) 820-4133

NPI assigned

Apr 15, 2020

Last updated

Apr 15, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1586908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586908800000",
    "number": "1851910236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 BOB THOMAS CIR",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327713096",
            "telephone_number": "407-820-4133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 BOB THOMAS CIR",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327713096",
            "telephone_number": "407-820-4133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLON-DAMES",
        "first_name": "OLETHA",
        "middle_name": "G",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-15",
        "last_updated": "2020-04-15",
        "certification_date": "2020-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "FL",
            "license": "00125",
            "primary": false
        },
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "FL",
            "license": "D520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Wayne Webb Jr., RRT, CPFT
• Tyler Weed, DPT, PT
• Dana Weiss
• Abigail Elizabeth Weisse, MD
• Wellness and Hydration Clinic, LLC (Newgen Direct Primary Care)
• Cheryl Wells, PTA
• Kendra Wells
• Rachel Wernecke
• Karen Christopher West, ARNP
• Michael Kenneth West, PSY.D.

• Driver in Sanford, FL
• Providers in Sanford, FL by specialty
• Driver in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2020; 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.