Individual provider Active NPI

Tracey Ann Wertheim, ARNP

  • Nurse Practitioner
  • New Port Richey, FL
National Provider Identifier
1487783114
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1522082 Issued in FL
Practice address
5400 School Road
Company Care
New Port Richey, FL 34652
Phone
(727) 834-5908
Fax
(727) 834-5680
NPI assigned
Mar 6, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1522082 FL Primary

Addresses

Primary practice location

5400 School Road
Company Care
New Port Richey, FL 34652

Mailing address

2130 Overview Drive
New Port Richey, FL 34655
Phone (727) 376-1516

Other names 1

  • Tracey Ann Kuves Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1522082FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jack N Rothman MD Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487783114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2130 OVERVIEW DRIVE",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "34655",
            "telephone_number": "727-376-1516",
            "fax_number": "727-376-1532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 SCHOOL ROAD",
            "address_2": "COMPANY CARE",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "34652",
            "telephone_number": "727-834-5908",
            "fax_number": "727-834-5680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WERTHEIM",
        "first_name": "TRACEY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "1522082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRACEY",
            "last_name": "KUVES",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New Port Richey, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.