Theresa Lynn Wayer
Individual provider Active NPI Gerontology Nurse Practitioner · Harmony, FL
NPI 1619729787 · NPPES record last updated May 14, 2025
Key facts
- NPI
- 1619729787
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Gerontology Nurse Practitioner 363LG0600X
- License
- APRN11032035 (FL)
- Practice address
- 6836 Little Blue LN
Harmony, FL 34773-6022 - Phone
- (850) 612-2902
- NPI assigned
- Apr 3, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240723000933 | FL | Practitioner - Nurse Practitioner | 0244776508 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11032035 | FL | MD | Gerontology Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Intensive Care Experts Health Network LLC | Current |
Accepting new patients | |
| Wound Technology Network Inc | Current |
Accepting new patients | |
| Healing Partners Plus PLLC | Current |
Accepting new patients | |
| Intensive Care Experts Health Network LLC | Current |
Accepting new patients | |
| Chma of FL, PLLC | Current |
Accepting new patients |
Locations
2777 NE 183rd St
Aventura, FL 33160
Phone (305) 405-2014
2875 NE 191st St
Ste 500
Aventura, FL 33180
Phone (305) 741-5628
9160 Forum Corporate Pkwy
Ste 350
Fort Myers, FL 33905
Phone (239) 785-3200
701 N Federal Hwy
Ste 601
Hallandale Beach, FL 33009
Phone (954) 573-2195
200 S Park Rd
Ste 200
Hollywood, FL 33021
Phone (866) 986-2263
5979 Vineland Rd
Ste 109
Orlando, FL 32819
Phone (407) 270-7702
4033 Beaver Ln
Pt Charlotte, FL 33952
Phone (941) 212-2748
1990 Main St
Ste 750
Sarasota, FL 34236
Phone (888) 830-7849
909 Ridgebrook Rd
Ste 300
Sparks Glencoe, MD 21152
Phone (443) 483-9300
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Registered Nurse | 163WG0600X | 11032035 | FL | |
| Gerontology Nurse Practitioner | 363LG0600X | APRN11032035 | FL | Yes |
Addresses
Primary practice location
6836 Little Blue LN
Harmony, FL 34773-6022
Mailing address
6836 Little Blue LN
Harmony, FL 34773-6022
Phone (850) 612-2902
Other practice location 1
13800 Veterans Way
Orlando, FL 32827-7401
Phone (407) 631-1000
Other providers in Harmony, FL
- Lai Yen Suarez
- Aidsha Vazquez
- Duait Vega Malagon
- Christine Von Wernich
- VSV Clinical Lab LLC
- Tamela S Winslow
All providers in Harmony, FL · Gerontology Nurse Practitioner in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 14, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.