Individual provider Active NPI

D'Lessia Taflora Wedley

  • Marriage & Family Therapist
  • Memphis, TN
National Provider Identifier
1902433956
Registry record updated Apr 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
1405 Issued in TN
Practice address
4646 Poplar Ave Ste 307
Memphis, TN 38117-4433
Phone
(901) 930-7397
NPI assigned
Mar 26, 2020
Last updated
Apr 23, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 1405 TN Primary

Addresses

Primary practice location

4646 Poplar Ave Ste 307
Memphis, TN 38117-4433

Mailing address

4646 Poplar Ave Ste 307
Memphis, TN 38117-4433
Phone (901) 210-1647

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1585180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587600000000",
    "number": "1902433956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4646 POPLAR AVE STE 307",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381174433",
            "telephone_number": "901-210-1647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4646 POPLAR AVE STE 307",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381174433",
            "telephone_number": "901-930-7397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEDLEY",
        "first_name": "D'LESSIA",
        "middle_name": "TAFLORA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-26",
        "last_updated": "2020-04-23",
        "certification_date": "2020-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TN",
            "license": "1405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.