Individual provider Active NPI

Lisa Gayle Wehe, C-FNP

  • Family Nurse Practitioner
  • Fairfield, TX
National Provider Identifier
1497913172
Registry record updated Jun 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
117284 Issued in TX
Practice address
764 W Commerce St
Fairfield, TX 75840-1428
Phone
(903) 389-2181
Fax
(903) 389-0901
NPI assigned
May 29, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 117284 TX Primary

Addresses

Primary practice location

764 W Commerce St
Fairfield, TX 75840-1428

Mailing address

764 W Commerce St
Fairfield, TX 75840-1428
Phone (903) 389-2181

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
117284TXMDSpeech-Language Assistant

Interoperability endpoints

  • Direct secure messaging: lwehe199504@christushealth.direct-ci.net
  • Direct secure messaging: lisawehe@etpa.allscriptsdirect.net

NPI Registry JSON

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

{
    "created_epoch": "1212019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306972800000",
    "number": "1497913172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "764 W COMMERCE ST",
            "city": "FAIRFIELD",
            "state": "TX",
            "postal_code": "758401428",
            "telephone_number": "903-389-2181",
            "fax_number": "903-389-0901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "764 W COMMERCE ST",
            "city": "FAIRFIELD",
            "state": "TX",
            "postal_code": "758401428",
            "telephone_number": "903-389-2181",
            "fax_number": "903-389-0901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEHE",
        "first_name": "LISA",
        "middle_name": "GAYLE",
        "name_prefix": "Mrs.",
        "credential": "C-FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-29",
        "last_updated": "2011-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "117284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2011; 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.