Individual provider Active NPI

Teresia Odessey-Nelson

  • Community Health Nurse Practitioner
  • Northampton, PA
National Provider Identifier
1013840479
Registry record updated Jun 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Nurse PractitionerTaxonomy code 363LC1500X
License
AG11240087 Issued in PA
Practice address
304 Bendelow LN
Northampton, PA 18067-8720
Phone
(484) 358-7193
NPI assigned
Jun 5, 2026
Last updated
Jun 5, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Nurse Practitioner 363LC1500X AG11240087 PA Primary

Addresses

Primary practice location

304 Bendelow LN
Northampton, PA 18067-8720

Mailing address

304 Bendelow LN
Northampton, PA 18067-8720

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
AG11240087PAMDCommunity Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1780617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780617600000",
    "number": "1013840479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 BENDELOW LN",
            "city": "NORTHAMPTON",
            "state": "PA",
            "postal_code": "180678720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 BENDELOW LN",
            "city": "NORTHAMPTON",
            "state": "PA",
            "postal_code": "180678720",
            "telephone_number": "484-358-7193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODESSEY-NELSON",
        "first_name": "TERESIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-06-05",
        "last_updated": "2026-06-05",
        "certification_date": "2026-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LC1500X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Community Health",
            "state": "PA",
            "license": "AG11240087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northampton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2026; 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.