Tedana Printemps Wibberley, M.D.

Primary specialty

Occupational Medicine PhysicianTaxonomy code 2083X0100X

License

149426 Issued in NY

Practice address

233 Alexander St
Rochester, NY 14607-2518

Phone

(585) 271-2390

Fax

(585) 271-2877

NPI assigned

Jun 1, 2007

Last updated

Feb 21, 2008By the provider in NPPES

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

Other names 1

• Tedana Printemps Wibberleybaker Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Brighton Consulting for Occupational & Environmental Medicine, PLLC

  • Specialist
  • Rochester, NY
  • NPI 1760651061
  NPD (past) Authorized official

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

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203552000000",
    "number": "1649472788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10532",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146100532",
            "telephone_number": "585-271-2390",
            "fax_number": "585-271-2877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 ALEXANDER ST",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146072518",
            "telephone_number": "585-271-2390",
            "fax_number": "585-271-2877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIBBERLEY",
        "first_name": "TEDANA",
        "middle_name": "PRINTEMPS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-01",
        "last_updated": "2008-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "NY",
            "license": "149426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TEDANA",
            "last_name": "WIBBERLEYBAKER",
            "middle_name": "PRINTEMPS",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nikkisha Whitty, LPN
• Beverly Winklet Whyte, FNP
• Mayan Whyte
• Racquel Kristie-Kay Whyte
• Noreen M Wiatrak, NP
• Ami Wickwire, RN
• Wide Waters Therapy Services LCSW PLLC
• Rachael Wiedel, PA
• Joyce Lorraine Wiedrich, NURSE PRACTITIONER
• Bridgette Ann Wiefling, M.D.

• Occupational Medicine Physician in Rochester, NY
• Providers in Rochester, NY by specialty
• Occupational Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.