Tessa Marie Weyershaeuser

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

SP021786 Issued in PA

Practice address

821 Bethlehem Pike
Erdenheim, PA 19038-8121

Phone

(215) 836-1700

NPI assigned

Dec 5, 2019

Last updated

Dec 3, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Children's Hospital of Philadelphia

  dba Flourtown Healthy Weight

  • Nutritionist
  • Erdenheim, PA
  • NPI 1558913582
  NPD
• Children's Hospital of Philadelphia

  dba Care Network Flourtown

  • Pediatrics Physician
  • Erdenheim, PA
  • NPI 1831262732
  NPD
• Children's Hospital of Philadelphia

  dba Care Network HighPoint

  • Pediatrics Physician
  • Chalfont, PA
  • NPI 1629158803
  NPD (past)

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

{
    "created_epoch": "1575504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606953600000",
    "number": "1467099705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 JESSOP LN",
            "city": "HATBORO",
            "state": "PA",
            "postal_code": "190401342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 BETHLEHEM PIKE",
            "city": "ERDENHEIM",
            "state": "PA",
            "postal_code": "190388121",
            "telephone_number": "215-836-1700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3401 Civic Center Blvd",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191044319",
            "country_code": "US",
            "telephone_number": "215-590-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEYERSHAEUSER",
        "first_name": "TESSA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-05",
        "last_updated": "2020-12-03",
        "certification_date": "2020-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "PA",
            "license": "SP021786",
            "primary": true
        },
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "PA",
            "license": "RN665933",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth William Stout Jr., D.M.D.
• Jennifer Lynn Udis, D.M.D
• Catherine Joan Ventura, DMD
• Vincent Healthcare, Inc.
• Vincent Healthcare, Inc.
• Jennifer Whelan
• William J Meis III DO Facos LLC
• Sara J Williams-Cole, MA., MFT
• Patricia Williamson, MA

• Pediatric Nurse Practitioner in Erdenheim, PA
• Providers in Erdenheim, PA by specialty
• Pediatric Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 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.