Teen Health Center, Inc.

Primary specialty

Pediatric Skilled Nursing FacilityTaxonomy code 3140N1450X

License

717639 Issued in TX

Legal business name

TEEN HEALTH CENTER, INC.

Practice address

1514 Avenue N 1/2
Room#172
Galveston, TX 77550-8135

Phone

(409) 761-3516

NPI assigned

Mar 23, 2012

Organization subpart

No

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

Authorized official

Name

Sheyanne Chan, CPNP

Title

Nurse Practitioner

Phone

(409) 761-3517

Specialties & licenses 1

Addresses

Tax ID family

Teen Health Center Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Teen Health Center, Inc.

  • Primary Care Nurse Practitioner
  • Galveston, TX
  • NPI 1073931226
  NPD tax ID

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

{
    "created_epoch": "1332460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332460800000",
    "number": "1023384138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 925",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775530925",
            "telephone_number": "409-766-5750",
            "fax_number": "409-750-9395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1514 AVENUE N 1/2",
            "address_2": "ROOM#172",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775508135",
            "telephone_number": "409-761-3516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEEN HEALTH CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-23",
        "last_updated": "2012-03-23",
        "status": "A",
        "authorized_official_last_name": "CHAN",
        "authorized_official_first_name": "SHEYANNE",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "409-761-3517",
        "authorized_official_credential": "CPNP"
    },
    "taxonomies": [
        {
            "code": "3140N1450X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
            "state": "TX",
            "license": "717639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyler Nathaniel Tatsch, MD
• Shawna Tatum
• Brooke Taylor
• Beth Marie Terpolilli Teegarden, M.D.
• Teen Health Center
• Teen Health Center, Inc.
• Jeffery R Temple, PHD
• Kaelan Gabrielle Temple, MD
• Andrea Fidelia Tenreiro Carneiro, MD
• Jonathan Ariel Tepp, MD

• Pediatric Skilled Nursing Facility in Galveston, TX
• Providers in Galveston, TX by specialty
• Pediatric Skilled Nursing Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2012; 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.