Theresa Ann Weremblewski, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F336353-1 Issued in NY

Practice address

4477 Lake Shore Rd
Hamburg, NY 14075-1407

Phone

(716) 442-2003

NPI assigned

Aug 28, 2010

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 names 1

• Theresa Ann Pfaffenbach Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Endion Medical Healthcare PC

  • Internal Medicine Physician
  • Nyack, NY
  • NPI 1629257316
  NPD (past)

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

{
    "created_epoch": "1282953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597017600000",
    "number": "1386950244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1173 SHERIDAN DR",
            "city": "TONAWANDA",
            "state": "NY",
            "postal_code": "141507930",
            "telephone_number": "716-875-5495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4477 LAKE SHORE RD",
            "city": "HAMBURG",
            "state": "NY",
            "postal_code": "140751407",
            "telephone_number": "716-442-2003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEREMBLEWSKI",
        "first_name": "THERESA",
        "middle_name": "ANN",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-28",
        "last_updated": "2020-08-10",
        "certification_date": "2020-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F336353-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THERESA",
            "last_name": "PFAFFENBACH",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Richard Alfred Wattengel
• Jonathan Joseph Weber, DO
• Jewel Weekley, RN
• Suzanne Marie Weeks, M.S. ED., BCBA
• Katelyn Weidner
• Kaila Lynn Werner
• Michelle Lynn Wesner
• Western New York Dental Group, PC
• Amanda Rene Desio Whitehouse, PHD
• Jana Whitehouse

• Family Nurse Practitioner in Hamburg, NY
• Providers in Hamburg, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 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.