Individual provider Active NPI

Kristina Wehrer, NP

  • Family Nurse Practitioner
  • Guyton, GA
National Provider Identifier
1114628617
Registry record updated Jan 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1170954 Issued in TX
Practice address
168 Green Paddock Cir
Guyton, GA 31312-7139
Phone
(240) 575-4483
NPI assigned
Mar 13, 2023
Last updated
Jan 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 33190 TN
Family Nurse Practitioner 363LF0000X 001707 GA
Family Nurse Practitioner 363LF0000X 27757 SC
Family Nurse Practitioner 363LF0000X 2484 FL
Family Nurse Practitioner 363LF0000X 1170954 TX Primary

Addresses

Primary practice location

168 Green Paddock Cir
Guyton, GA 31312-7139

Mailing address

168 Green Paddock Cir
Guyton, GA 31312-7139

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2484FLMDFamily Nurse Practitioner
001707GAMDFamily Nurse Practitioner
27757SCMDFamily Nurse Practitioner
33190TNMDFamily Nurse Practitioner
1170954TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ocoee Regional Health Corporation PastSince Mar 1, 2023 Accepting new patients
Ocoee Regional Health Corporation PastSince Mar 1, 2023 Accepting new patients
Southwest Texas Two Medical Group, PLLC Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1678665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737676800000",
    "number": "1114628617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "168 GREEN PADDOCK CIR",
            "city": "GUYTON",
            "state": "GA",
            "postal_code": "313127139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "168 GREEN PADDOCK CIR",
            "city": "GUYTON",
            "state": "GA",
            "postal_code": "313127139",
            "telephone_number": "240-575-4483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEHRER",
        "first_name": "KRISTINA",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-13",
        "last_updated": "2025-01-24",
        "certification_date": "2025-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "33190",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "001707",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "27757",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "2484",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1170954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guyton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2025; 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.