Individual provider Active NPI

Taylor Weiershausen, PNP

  • Pediatric Nurse Practitioner
  • San Angelo, TX
National Provider Identifier
1548823792
Registry record updated Sep 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
870284 Issued in TX
Practice address
35 E 31St St
San Angelo, TX 76903-2207
Phone
(325) 658-5339
NPI assigned
Apr 15, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 870284 TX Primary

Addresses

Primary practice location

35 E 31St St
San Angelo, TX 76903-2207

Mailing address

PO Box 22000
San Angelo, TX 76902-7200
Phone (325) 747-1511

Other practice location 1

3555 Knickerbocker Rd
San Angelo, TX 76904-7610
Phone (325) 747-8060

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191018002446 TX Practitioner - Nurse Practitioner 8729319975 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
870284TXMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
La Esperanza Clinic, Inc. CurrentSince Jun 7, 2019 Accepting new patients
La Esperanza Clinic, Inc. CurrentSince Jun 7, 2019 Accepting new patients
La Esperanza Clinic Inc Current Accepting new patients

Locations

1610 S Chadbourne St
San Angelo, TX 76903
Phone (325) 658-5339

2029 W Beauregard Ave
San Angelo, TX 76901
Phone (325) 658-5339

35 E 31st St
Ste 1
San Angelo, TX 76903

35 E 31st St
San Angelo, TX 76903
Phone (325) 658-5339

34 Buick St
San Angelo, TX 76901
Phone (325) 658-5339

Interoperability endpoints

  • Direct secure messaging: tweiershausen38010@shannonhealth.direct-ci.com

Organizations & group practices 3

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": "1555286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789084800000",
    "number": "1548823792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22000",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769027200",
            "telephone_number": "325-747-1511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 E 31ST ST",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769032207",
            "telephone_number": "325-658-5339"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3555 Knickerbocker Rd",
            "address_purpose": "LOCATION",
            "city": "San Angelo",
            "state": "TX",
            "postal_code": "769047610",
            "country_code": "US",
            "telephone_number": "325-747-8060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEIERSHAUSEN",
        "first_name": "TAYLOR",
        "credential": "PNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-15",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "870284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Angelo, TX

Sources for this page

Verify at the official NPI Registry.