Theresa West

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

VN233284 Issued in CA

Practice address

12930 Gaston Dr
Nevada City, CA 95959-9524

Phone

(530) 470-2425

NPI assigned

Mar 22, 2016

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": "1458604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458604800000",
    "number": "1356703078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 GLASSON WAY",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "95945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12930 GASTON DR",
            "city": "NEVADA CITY",
            "state": "CA",
            "postal_code": "959599524",
            "telephone_number": "530-470-2425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEST",
        "first_name": "THERESA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-22",
        "last_updated": "2016-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "CA",
            "license": "VN233284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Casey Welch
• Haley Jean Welden, DACM, LAC
• Wellness Way Grass Valley LLC
• Laura Beth Werner, LCSW
• Keana West
• Vesna Westbrook
• Western Sierra Medical Clinic, Inc.
• Western Sierra Medical Clinic, Inc.
• Western Sierra Medical Clinic, Inc.
• Western Sierra Medical Clinic, Inc.

• Licensed Practical Nurse in Nevada City, CA
• Providers in Nevada City, CA by specialty
• Licensed Practical Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2016; 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.