Wesley Wolfe

Primary specialty

Home Modifications ContractorTaxonomy code 171WH0202X

License

39671 Issued in TN

Practice address

3004 Greystone SQ
Jackson, TN 38305-3589

Phone

(731) 664-7581

Fax

(731) 660-8510

NPI assigned

Jul 9, 2024

Sex

Male

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": "1720483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720483200000",
    "number": "1043057003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3004 GREYSTONE SQ",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383053589",
            "telephone_number": "731-664-7581",
            "fax_number": "731-660-8510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3004 GREYSTONE SQ",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383053589",
            "telephone_number": "731-664-7581",
            "fax_number": "731-660-8510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLFE",
        "first_name": "WESLEY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-07-09",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171WH0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Contractor, Home Modifications",
            "state": "TN",
            "license": "39671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meghan Witsman, RBT
• Glynn M Wittber, MD
• Tomasz Krzysztof Wojtas, PT
• Wolfchase Limb & Brace
• Susan Tipton Wolfe, L.C.S.W.
• Nikole Wolney
• Tekia C Womack
• Woman'S Clinic
• Womans Clinic a Professional Association
• Womens Resource and Rape Assistance Program

• All providers in Jackson, TN
• Home Modifications Contractor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.