Active NPI
Wendys Seniorcare Consulting, LLC
- Gerontology Nurse Practitioner
- San Antonio, TX
National Provider Identifier
1861074700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- Legal business name
- WENDYS SENIORCARE CONSULTING, LLC
- Practice address
- 13122 Quinlan RNCH
San Antonio, TX 78253-3421 - Phone
- (210) 837-4196
- NPI assigned
- Apr 21, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Wendy Van Dyke, NP
- Title
- Manager
- Phone
- (210) 837-4196
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health & Wellness Coach | 171400000X | |||
| Gerontology Nurse Practitioner | 363LG0600X | Primary |
Addresses
Primary practice location
13122 Quinlan RNCH
San Antonio, TX 78253-3421
Mailing address
13122 Quinlan RNCH
San Antonio, TX 78253-3421
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Gerontology Nurse Practitioner
- San Antonio, TX
- NPI 1275804197
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618963200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1620691200000",
"number": "1861074700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13122 QUINLAN RNCH",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782533421"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13122 QUINLAN RNCH",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782533421",
"telephone_number": "210-837-4196"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WENDYS SENIORCARE CONSULTING, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-04-21",
"last_updated": "2021-05-11",
"certification_date": "2021-04-27",
"status": "A",
"authorized_official_last_name": "VAN DYKE",
"authorized_official_first_name": "WENDY",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "210-837-4196",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "171400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Health & Wellness Coach",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Gerontology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.