Kristin Wenner

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

46TA09150100 Issued in NJ

Practice address

2601 E Evesham Rd
Voorhees, NJ 08043-9509

Phone

(856) 596-1113

NPI assigned

Nov 14, 2020

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1605312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605312000000",
    "number": "1881296754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1512 PLEASANT DR",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080033130",
            "telephone_number": "609-220-3169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 E EVESHAM RD",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080439509",
            "telephone_number": "856-596-1113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENNER",
        "first_name": "KRISTIN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-14",
        "last_updated": "2020-11-14",
        "certification_date": "2020-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapy Assistant",
            "state": "NJ",
            "license": "46TA09150100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole A Weitz, DO
• Welcare Diagnostics LLC
• Sean Matthew Welch, MD
• Well BL Opco LLC
• Amy Welsh, COTA/L
• Alissa Werzen
• Jennifer West-Gavin, PSY. D
• Christopher Raymond Westfall, DMD
• Merrick Wetzler, M.D.
• Michael Wexler, DED ABPP

• Occupational Therapy Assistant in Voorhees, NJ
• Providers in Voorhees, NJ by specialty
• Occupational Therapy Assistant in New Jersey

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