Individual provider Active NPI

Tiffany Rachelle Wuethrick, NP-C

  • Family Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1851047252
Registry record updated Feb 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1071421 Issued in TX
Practice address
8877 Harry Hines Blvd
Dallas, TX 75235-1715
Phone
(214) 393-2940
NPI assigned
Feb 23, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1071421 TX Primary

Addresses

Primary practice location

8877 Harry Hines Blvd
Dallas, TX 75235-1715

Mailing address

1800 N Field St Apt 1508
Dallas, TX 75202-2764
Phone (312) 818-8638

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230710001262 TX Practitioner - Family Practice 6507225513 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dharma MD PA CurrentSince Jul 1, 2023 Accepting new patients

Locations

8877 Harry Hines Blvd
Ste 100
Dallas, TX 75235
Phone (214) 393-2940

8877 Harry Hines Blvd
Dallas, TX 75235
Phone (214) 393-2940

Organizations & group practices 1

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": "1645574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645574400000",
    "number": "1851047252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 N FIELD ST APT 1508",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752022764",
            "telephone_number": "312-818-8638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8877 HARRY HINES BLVD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752351715",
            "telephone_number": "214-393-2940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WUETHRICK",
        "first_name": "TIFFANY",
        "middle_name": "RACHELLE",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-23",
        "last_updated": "2022-02-23",
        "certification_date": "2022-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1071421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.