Teressa Weaver

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

636194 Issued in TX

Practice address

9126 County Road 310
Terrell, TX 75161-7104

Phone

(972) 835-3762

NPI assigned

Nov 12, 2014

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": "1415750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415750400000",
    "number": "1104222504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9126 COUNTY ROAD 310",
            "city": "TERRELL",
            "state": "TX",
            "postal_code": "751617104",
            "telephone_number": "972-835-3762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9126 COUNTY ROAD 310",
            "city": "TERRELL",
            "state": "TX",
            "postal_code": "751617104",
            "telephone_number": "972-835-3762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "TERESSA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-12",
        "last_updated": "2014-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "TX",
            "license": "636194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wal-Mart Stores Texas, LP
• Benjamin Robert Walder, DDS MS
• Walgreen Co.
• Michael Bob Wallis, BCBA
• April Washburn
• Edward Weidow, D.O.
• Margaret Weidow, M.D.
• Dorenda Weller, RPH
• Wesley House Terrell LLC
• Brittany Wheeler

• Case Manager/Care Coordinator in Terrell, TX
• Providers in Terrell, TX by specialty
• Case Manager/Care Coordinator in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2014; 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.