Active NPI
Donyele Evyonne Wakelin, CMT
- Massage Therapist
- San Diego, CA
National Provider Identifier
1932416518
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 8343
- Practice address
- 4343 46TH St
San Diego, CA 92115-4324 - Phone
- (520) 329-2735
- NPI assigned
- Sep 3, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 8343 | CA | Primary |
Addresses
Primary practice location
4343 46TH St
San Diego, CA 92115-4324
Mailing address
4343 46TH St
San Diego, CA 92115-4324
Phone (520) 329-2735
Other names 1
- Donyele Cole
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8343 | CA | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722384000000",
"number": "1932416518",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4343 46TH ST",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921154324",
"telephone_number": "520-329-2735"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4343 46TH ST",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921154324",
"telephone_number": "520-329-2735"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAKELIN",
"first_name": "DONYELE",
"middle_name": "EVYONNE",
"credential": "CMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-09-03",
"last_updated": "2024-07-31",
"certification_date": "2024-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CA",
"license": "8343",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DONYELE",
"last_name": "COLE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.