Jessica Lyn Wienke

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

309 Oakdale Dr
North Tonawanda, NY 14120-2403

Phone

(716) 523-2737

NPI assigned

Jun 21, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1529539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629244800000",
    "number": "1992299002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 OAKDALE DR",
            "city": "NORTH TONAWANDA",
            "state": "NY",
            "postal_code": "141202403",
            "telephone_number": "716-523-2737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 OAKDALE DR",
            "city": "NORTH TONAWANDA",
            "state": "NY",
            "postal_code": "141202403",
            "telephone_number": "716-523-2737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIENKE",
        "first_name": "JESSICA",
        "middle_name": "LYN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-21",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wheeler, Adult Health NP, PLLC
• Lisa M Wheeler, NP
• Anne Marie Whelan, MS
• Heather Ashley Whitley, LMT
• Robert G. Wiechec, OTR/L
• Cheryl Wilkins, L.M.T.
• Ramona Wilson
• Dennis G. Winiecki, DPM
• Matthew L Withiam-Leitch, MD
• Joseph Carl Wittmann, Jr., M.D.

• Speech-Language Pathologist in North Tonawanda, NY
• Providers in North Tonawanda, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2021; 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.