Active NPI
Wendy Ann Haering, PA-C
- Physician Assistant
- Wellesley Hills, MA
National Provider Identifier
1497169270
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 1012896
- Practice address
- 9 Clovelly Rd
Wellesley Hills, MA 02481-6111 - Phone
- (781) 235-2928
- Fax
- (781) 235-4181
- NPI assigned
- Jun 19, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 1012896 | MA | Primary |
Addresses
Primary practice location
9 Clovelly Rd
Wellesley Hills, MA 02481-6111
Mailing address
9 Clovelly Rd
Wellesley Hills, MA 02481-6111
Phone (781) 235-2928
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1012896 | MA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1403136000000",
"number": "1497169270",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 CLOVELLY RD",
"city": "WELLESLEY HILLS",
"state": "MA",
"postal_code": "024816111",
"telephone_number": "781-235-2928",
"fax_number": "781-235-4181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9 CLOVELLY RD",
"city": "WELLESLEY HILLS",
"state": "MA",
"postal_code": "024816111",
"telephone_number": "781-235-2928",
"fax_number": "781-235-4181"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAERING",
"first_name": "WENDY",
"middle_name": "ANN",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-06-19",
"last_updated": "2014-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MA",
"license": "1012896",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wellesley Hills, MA
- Daniel Ian Gittins Stone, PHD
- Betsy Susan Glaser, PH.D.
- Rebecca Glover, M.S. CCC-SLP
- Stephanie Godbout, MS, CCC, SLP
- Guralnick, Rosenberg & Stempien, Inc.
- Fereydoun Haghkerdar, D.M.D.
- Hands and Hearts Hospice Corporation
- Jacqueline Elizabeth Hapenny, PSYD
- Daniel Ryan Harper-Schufft, L.AC.
- Andrea F Hartnett, LICSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.