Individual provider Active NPI

Tessa J Rydberg, APRN

  • Family Nurse Practitioner
  • Storm Lake, IA
National Provider Identifier
1033576616
Registry record updated Jul 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A119098 Issued in IA
Practice address
715 W Milwaukee Ave
Storm Lake, IA 50588-1564
Phone
(712) 213-0109
NPI assigned
Jan 27, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 113088 NE
Family Nurse Practitioner 363LF0000X A119098 IA Primary

Addresses

Primary practice location

715 W Milwaukee Ave
Storm Lake, IA 50588-1564

Mailing address

715 W Milwaukee Ave
Storm Lake, IA 50588-1564
Phone (712) 213-0109

Other practice location 1

2727 S 144th St Ste 280
Omaha, NE 68144-5252
Phone (402) 778-5490

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)
Enrolled

Interoperability endpoints

  • Direct secure messaging: tessa.rydberg@uchc.directbygreenway.com

NPI Registry JSON

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

{
    "created_epoch": "1453852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593561600000",
    "number": "1033576616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 W MILWAUKEE AVE",
            "city": "STORM LAKE",
            "state": "IA",
            "postal_code": "505881564",
            "telephone_number": "712-213-0109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 W MILWAUKEE AVE",
            "city": "STORM LAKE",
            "state": "IA",
            "postal_code": "505881564",
            "telephone_number": "712-213-0109"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2727 S 144th St Ste 280",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681445252",
            "country_code": "US",
            "telephone_number": "402-778-5490",
            "fax_number": "402-614-1404",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RYDBERG",
        "first_name": "TESSA",
        "middle_name": "J",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-27",
        "last_updated": "2020-07-01",
        "certification_date": "2020-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NE",
            "license": "113088",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A119098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Storm Lake, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2020; 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.