Teisha Maudrey Wiehl

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

1St Front Street
30
Beaver, AK 99724

Phone

(907) 628-6228

Fax

(907) 628-6224

NPI assigned

Jan 16, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Beaver Village Clinic

  • Clinic/Center
  • Beaver, AK
  • NPI 1205027505
  NPD (past)

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

{
    "created_epoch": "1516060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516060800000",
    "number": "1508374372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 24030",
            "city": "BEAVER",
            "state": "AK",
            "postal_code": "997240030",
            "telephone_number": "907-628-6228",
            "fax_number": "907-628-6224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1ST FRONT STREET",
            "address_2": "30",
            "city": "BEAVER",
            "state": "AK",
            "postal_code": "99724",
            "telephone_number": "907-628-6228",
            "fax_number": "907-628-6224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIEHL",
        "first_name": "TEISHA",
        "middle_name": "MAUDREY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-16",
        "last_updated": "2018-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Andrea Andon
• Beaver Village Clinic

• All providers in Beaver, AK
• Community Health Worker in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2018; 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.