IndividualActive
Nicole Wiedeke
NPI 1336699818 · Specialist · Pembroke Pines, FL
Nicole Wiedeke is a Specialist provider in Pembroke Pines, FL (NPI 1336699818).
Provider details
- NPI number
- 1336699818
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- MA72749 (FL)
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
9041 Nw 12th Court
Pembroke Pines, FL 33024
Phone: (954) 825-9281
Street-level locationGet directions
Mailing address
9041 Nw 12th Ct
Pembroke Pines, FL 33024-4626
Registry dates
- Enumerated
- 2016-10-10
- Last updated
- 2016-10-10
Frequently asked questions
- What is Nicole Wiedeke's NPI number?
- Nicole Wiedeke's National Provider Identifier (NPI) is 1336699818, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Nicole Wiedeke's specialty?
- Nicole Wiedeke is listed in the NPPES registry with a primary specialty of Specialist (Other Service Providers).
- Where is Nicole Wiedeke located?
- Nicole Wiedeke's practice location on file with NPPES is 9041 Nw 12th Court, Pembroke Pines, FL 33024.
- What is Nicole Wiedeke's phone number?
- The practice phone number listed in the NPPES registry for Nicole Wiedeke is (954) 825-9281.
- Is Nicole Wiedeke's NPI active?
- Yes — Nicole Wiedeke's NPI (1336699818) is active in the NPPES registry as of the last update on 2016-10-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.