NPIMap

Individual provider Active NPI

Tami Ray Wieland, PA

  • Physician Assistant
  • La Vernia, TX
National Provider Identifier
1417123399
Registry record updated Oct 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
102 S. FM 1346
Suite 1
La Vernia, TX 78121
Phone
(302) 531-2168
Fax
(830) 253-1221
NPI assigned
May 1, 2008
Last updated
Oct 29, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X TX Primary

Addresses

Primary practice location

102 S. FM 1346
Suite 1
La Vernia, TX 78121

Mailing address

102 S. FM 1346
Suite 1
Lavernia, TX 78121
Phone (830) 253-1216

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090120000155 TX Practitioner - Physician Assistant 3779646682 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North San Antonio Healthcare AssociatesGroup PAC ID 6406830314, 8 clinicians

Practice addresses (Care Compare)

3338 Oakwell CT
San Antonio, TX 78218-3087
Phone (210) 822-3646

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
River City Emergency Physicians, PLLC Past Accepting new patients
La Vernia Erl Acquisition Partners LLC PastSince Apr 1, 2025 Accepting new patients
Complete Emergency Care la Vernia LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: tami.wieland.1@14228.direct.athenahealth.com

Organizations & group practices 4

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1209600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572307200000",
    "number": "1417123399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 S. FM 1346",
            "address_2": "SUITE 1",
            "city": "LAVERNIA",
            "state": "TX",
            "postal_code": "78121",
            "telephone_number": "830-253-1216",
            "fax_number": "830-253-1221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 S. FM 1346",
            "address_2": "SUITE 1",
            "city": "LA VERNIA",
            "state": "TX",
            "postal_code": "78121",
            "telephone_number": "302-531-2168",
            "fax_number": "830-253-1221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIELAND",
        "first_name": "TAMI",
        "middle_name": "RAY",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-01",
        "last_updated": "2019-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Vernia, TX

Sources for this page

Verify at the official NPI Registry.