Wendalyn Denise Jenkins

Primary specialty

Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X

License

L-311559 Issued in CA

Practice address

3435 Gentle Knoll St
Carlsbad, CA 92010-5551

Phone

(317) 985-4532

NPI assigned

Dec 16, 2024

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": "1734307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734307200000",
    "number": "1962219626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3435 GENTLE KNOLL ST",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920105551",
            "telephone_number": "317-985-4532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3435 GENTLE KNOLL ST",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920105551",
            "telephone_number": "317-985-4532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "WENDALYN",
        "middle_name": "DENISE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-12-16",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "CA",
            "license": "L-311559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Jeckel
• Jefferey Raunig MD Inc
• Collin Jefferson
• Jana Michele Jeltema, CCC-SLP
• Melissa McKeown Jenkins, PH.D.
• Jenna Khoury DMD Inc
• Jonathan Jenness, OD
• Cheryl Lynn Jennett, M.D
• Bryonna Maria Jennings
• Tiffany Jennings

• Lactation Consultant (Registered Nurse) in Carlsbad, CA
• Providers in Carlsbad, CA by specialty
• Lactation Consultant (Registered Nurse) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 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.

Verify at the official NPI Registry.