Teresa M Vierling

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

0067575 Issued in OH

Practice address

43 Pennsylvania Ave
Waterville, OH 43566-1060

Phone

(419) 340-7117

NPI assigned

Sep 30, 2020

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

Other identifiers 2

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": "1601424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601424000000",
    "number": "1376150524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 PENNSYLVANIA AVE",
            "city": "WATERVILLE",
            "state": "OH",
            "postal_code": "435661060",
            "telephone_number": "419-340-7117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 PENNSYLVANIA AVE",
            "city": "WATERVILLE",
            "state": "OH",
            "postal_code": "435661060",
            "telephone_number": "419-340-7117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIERLING",
        "first_name": "TERESA",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-30",
        "last_updated": "2020-09-30",
        "certification_date": "2020-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OH",
            "license": "0067575",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0067575",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "483366547601",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• The Kroger Co (Kroger Pharmacy #531)
• Sean Cameron Tracey, PT
• Hannah Vorst
• Jason Walgrave, PHARMD
• Waterville Care, LLC (Arbors at Waterville)
• Waterville Chiropractic Clinic LLC
• Waterville Family Physicians Inc.

• Home Health Agency in Waterville, OH
• Providers in Waterville, OH by specialty
• Home Health Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.