Individual provider Active NPI

Trea Candace Wessel, D.C.

  • Chiropractor
  • Woodbury, TN
National Provider Identifier
1326139973
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1914 Issued in TN
Practice address
824 McMinnville Hwy
Woodbury, TN 37190-1241
Phone
(615) 563-3320
Fax
(615) 563-3325
NPI assigned
Sep 27, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1914 TN Primary

Addresses

Primary practice location

824 McMinnville Hwy
Woodbury, TN 37190-1241

Mailing address

824 McMinnville Hwy
Woodbury, TN 37190-1241
Phone (615) 563-3320

Other identifiers 5

IdentifierTypeStateIssuer
3973145MedicaidTN
5356224OtherTNCIGNA
668746OtherTNACN
9358134OtherTNPRIVATE HEALTHCARE SYSTEM
4079721OtherTNBLUE CROSS/BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041012000504 TN Practitioner - Chiropractic 7113987595 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

824 McMinnville Hwy
Woodbury, TN 37190-1241
Phone (615) 563-3320

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1914TNMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Cannon County Chiropractic, PLLC Chiropractor CurrentSince Jan 1, 2020 Accepting new patients

Locations

824 McMinnville Hwy
Woodbury, TN 37190
Phone (615) 563-3320

Interoperability endpoints

  • Direct secure messaging: tcwchiro@ccc0034.direct.chirotouch.md

Organizations & group practices 1

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": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1326139973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "824 MCMINNVILLE HWY",
            "city": "WOODBURY",
            "state": "TN",
            "postal_code": "371901241",
            "telephone_number": "615-563-3320",
            "fax_number": "615-563-3325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "824 MCMINNVILLE HWY",
            "city": "WOODBURY",
            "state": "TN",
            "postal_code": "371901241",
            "telephone_number": "615-563-3320",
            "fax_number": "615-563-3325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WESSEL",
        "first_name": "TREA",
        "middle_name": "CANDACE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "1914",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3973145",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "5356224",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACN",
            "identifier": "668746",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIVATE HEALTHCARE SYSTEM",
            "identifier": "9358134",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "4079721",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbury, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.