Tara Wheeldon

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

SA60961352 Issued in WA

Practice address

323 E 6TH St
Port Angeles, WA 98362-6203

Phone

(360) 457-8355

NPI assigned

Jan 13, 2020

Last updated

Jan 13, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1578873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578873600000",
    "number": "1285274720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 249",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983620038",
            "telephone_number": "360-457-8355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 E 6TH ST",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983626203",
            "telephone_number": "360-457-8355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHEELDON",
        "first_name": "TARA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-13",
        "last_updated": "2020-01-13",
        "certification_date": "2020-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "WA",
            "license": "SA60961352",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SA60961352",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeffrey C Weller, M.D.
• Katrina C Weller, MD
• Cynthia West, DO
• Cindy Michele Westmoreland, CDPT
• Melissa Weston
• Deborah K Wheeler, A.R.N.P.
• Rachel Marie Whisenand
• Thomas Welles Whitaker
• Robin A Whitcombe, LMP
• Sonya Rene White, LPTA

• Case Manager/Care Coordinator in Port Angeles, WA
• Providers in Port Angeles, WA by specialty
• Case Manager/Care Coordinator in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2020; 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.