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THERESA ANN HENNESSEY M.D.
NPI 1699826693
Orthopaedic Surgery - Pediatric Orthopaedic Surgery in Salt Lake City, UT

Active since January 16, 2007PECOS Enrolled
SHRINERS HOSPITALS FOR CHILDREN, FAIRFAX ROAD AT VIRGINIA STREET, SALT LAKE CITY, UT 84103(801) 536-3600(801) 536-3868 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 7, 2023, Apr 25, 2022 (2 updates tracked since 2022).

About Theresa Ann Hennessey M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THERESA ANN HENNESSEY M.D. (NPI 1699826693) is an individual pediatric orthopaedic surgery provider in Salt Lake City, Utah, licensed in Utah (5897436-1205) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1699826693
Entity TypeIndividualFemale
Primary Taxonomy207XP3100X
Provider Legal NameTHERESA ANN HENNESSEYCredential: M.D.
Location AddressSHRINERS HOSPITALS FOR CHILDREN, FAIRFAX ROAD AT VIRGINIA STREETSalt Lake City, UT 84103-4399
Mailing AddressShriners Hospitals For Children Salt, Dept 5034Los Angeles, CA 90084-0001 · (813) 281-8478 · Fax (813) 281-8113
Phone(801) 536-3600
Fax(801) 536-3868
Sole ProprietorNo
Enumeration DateJanuary 16, 2007
Last NPPES UpdateMarch 7, 20232 updates tracked since enumeration
NPPES CertifiedApril 25, 2022
✔ NPI 1699826693 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Pediatric Orthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207XP3100X
License✔ Licensed in UT · 5897436-1205
Definition

An orthopedic surgeon who has additional training and experience in diagnosing, treating and managing musculoskeletal problems in infants, children and adolescents. These may include limb and spine deformities (such as club foot, scoliosis); gait abnormalities (limping); bone and joint infections; broken bones.

SHRINERS HOSPITALS FOR CHILDREN, Salt Lake City, UT 84103
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Other Identifiers 2

Other5897436-8905UT · Controlled Substance Lic
Other5897436-1205UT · State License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, BridgeSpan Health Company, Molina Healthcare and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Theresa Ann Hennessey M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Theresa Hennessey's NPI number?

The NPI number for Theresa Hennessey is 1699826693. It was assigned to this individual provider in the NPPES registry on January 16, 2007.

Where is Theresa Hennessey located?

Theresa Hennessey practices at Shriners Hospitals For Children Fairfax Road At Virginia Street, Salt Lake City, UT 84103. The listed phone number is (801) 536-3600.

What is Theresa Hennessey's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Pediatric Orthopaedic Surgery, with taxonomy code 207XP3100X.

Is Theresa Hennessey enrolled in Medicare?

Yes. Theresa Hennessey is registered in the Medicare PECOS enrollment system.

What insurance does Theresa Hennessey accept?

Health plans from Ambetter from Arizona Complete Health, BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and Select Health and 1 other insurer list Theresa Hennessey as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Theresa Hennessey was last updated on March 7, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.