Teresa Ann Wenner

Primary specialty

Nurse Massage Therapist (NMT)Taxonomy code 163WM1400X

License

53092 Issued in WV

Practice address

217 S Duke St Ste 104
Shepherdstown, WV 25443-4849

Phone

(304) 362-3009

NPI assigned

Jun 19, 2023

Last updated

Jun 19, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Aanandha Well LLC

  dba Aanandha Health and Wellness

  • Massage Therapist
  • Shepherdstown, WV
  • NPI 1336849330
  NPD

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

{
    "created_epoch": "1687132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687132800000",
    "number": "1871278747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "158 HEATH CT",
            "city": "CHARLES TOWN",
            "state": "WV",
            "postal_code": "254144137",
            "telephone_number": "130-427-9639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 S DUKE ST STE 104",
            "city": "SHEPHERDSTOWN",
            "state": "WV",
            "postal_code": "254434849",
            "telephone_number": "304-362-3009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENNER",
        "first_name": "TERESA",
        "middle_name": "ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-19",
        "last_updated": "2023-06-19",
        "certification_date": "2023-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WV",
            "license": "223-4023",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "VA",
            "license": "0019019311",
            "primary": false
        },
        {
            "code": "163WM1400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Nurse Massage Therapist (NMT)",
            "state": "WV",
            "license": "53092",
            "primary": true
        },
        {
            "code": "163WM1400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Nurse Massage Therapist (NMT)",
            "state": "VA",
            "license": "0001149304",
            "primary": false
        },
        {
            "code": "163WW0101X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Women's Health Care, Ambulatory",
            "state": "WV",
            "license": "53092",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Waggoner
• Walgreen Co (Walgreens #19709)
• Walgreen Co. (Walgreens #19709)
• Charice Washington
• Denzel Washington
• Ashley Wertman, DPT
• West Virginia University Medical Corporation
• West Virginia University Medical Corporation
• West Virginia University Medical Corporation
• Tim L Whetzel, LMFT

• Nurse Massage Therapist (NMT) in Shepherdstown, WV
• Providers in Shepherdstown, WV by specialty
• Nurse Massage Therapist (NMT) in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.