Jennifer A. Wenrick

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

102094 Issued in AK

Practice address

376 Layla CT
Fairbanks, AK 99712-1441

Phone

(907) 456-1571

Fax

(907) 456-1581

NPI assigned

Jan 6, 2018

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

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.

• Obfc LLC

  • Chiropractor
  • Fairbanks, AK
  • NPI 1316584121

  Massage Therapist

  NPD (past)
• Woodland Wellness Center, Inc.

  • Primary Care Clinic/Center
  • Fairbanks, AK
  • NPI 1134252737
  NPD (past)

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

{
    "created_epoch": "1515196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515196800000",
    "number": "1902313380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1573 N RADER DR",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997096022",
            "telephone_number": "907-455-6330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "376 LAYLA CT",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997121441",
            "telephone_number": "907-456-1571",
            "fax_number": "907-456-1581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENRICK",
        "first_name": "JENNIFER",
        "middle_name": "A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-06",
        "last_updated": "2018-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "AK",
            "license": "102094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dale Welsh, PA-C
• Sarah N Welsh
• Wendell Street Psychiatric LLC
• Nayeli Wenger
• William W Wennen, M.D.
• Wentz Orthodontics
• Wentz Orthodontics LLC
• Todd Zane Wentz, DDS, MS
• Zachary R Werle, D.O.
• Aaron Wernham, MD

• Massage Therapist in Fairbanks, AK
• Providers in Fairbanks, AK by specialty
• Massage Therapist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2018; 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.