Individual provider Active NPI

Jana D. Weiss Wuerth, APRN, MSN, CS

  • Adult Psychiatric/Mental Health Registered Nurse
  • Guilford, CT
National Provider Identifier
1649307778
Registry record updated May 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0809X
License
R32645 Issued in CT
Practice address
2 Graves Ave
Suite a
Guilford, CT 06437-2626
Phone
(203) 458-1970
NPI assigned
Feb 27, 2007
Last updated
May 12, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2011

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Psychiatric/Mental Health Registered Nurse 163WP0809X 000848 CT
Adult Psychiatric/Mental Health Registered Nurse 163WP0809X R32645 CT Primary
Adult Psychiatric/Mental Health Registered Nurse 163WP0809X 100281 CT

Addresses

Primary practice location

2 Graves Ave
Suite a
Guilford, CT 06437-2626

Mailing address

2 Graves Ave
Suite a
Guilford, CT 06437-2647
Phone (203) 458-1970

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Oct 1, 2015 through Oct 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
000848CTMDPsychologist
100281CTMDAdult Psychiatric/Mental Health Registered Nurse
R32645CTMDAdult Psychiatric/Mental Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305158400000",
    "number": "1649307778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 GRAVES AVE",
            "address_2": "SUITE A",
            "city": "GUILFORD",
            "state": "CT",
            "postal_code": "064372647",
            "telephone_number": "203-458-1970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 GRAVES AVE",
            "address_2": "SUITE A",
            "city": "GUILFORD",
            "state": "CT",
            "postal_code": "064372626",
            "telephone_number": "203-458-1970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISS WUERTH",
        "first_name": "JANA",
        "middle_name": "D.",
        "credential": "APRN, MSN, CS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-27",
        "last_updated": "2011-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "CT",
            "license": "000848",
            "primary": false
        },
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "CT",
            "license": "R32645",
            "primary": true
        },
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "CT",
            "license": "100281",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guilford, CT

Sources for this page

Verify at the official NPI Registry.