Individual provider Active NPI

Tirsha Maisha Wheatly

  • Medical-Surgical Registered Nurse
  • Rochester, NY
National Provider Identifier
1124939970
Registry record updated Sep 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical-Surgical Registered NurseTaxonomy code 163WM0705X
License
796789 Issued in NY
Practice address
30 Bending Creek Rd
Rochester, NY 14624-2134
Phone
(347) 909-3790
NPI assigned
Sep 12, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical-Surgical Registered Nurse 163WM0705X 796789 NY Primary

Addresses

Primary practice location

30 Bending Creek Rd
Rochester, NY 14624-2134

Mailing address

30 Bending Creek Rd
Rochester, NY 14624-2134
Phone (347) 909-3790

Medicare participation

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

NPI Registry JSON

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

{
    "created_epoch": "1789171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789171200000",
    "number": "1124939970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 BENDING CREEK RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146242134",
            "telephone_number": "347-909-3790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 BENDING CREEK RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146242134",
            "telephone_number": "347-909-3790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHEATLY",
        "first_name": "TIRSHA",
        "middle_name": "MAISHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-12",
        "last_updated": "2026-09-12",
        "certification_date": "2026-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "NY",
            "license": "796789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.