Individual provider Active NPI

Christel Balanay Teesy, FNP-C

  • Nurse Practitioner
  • Visalia, CA
National Provider Identifier
1033759964
Registry record updated Jul 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95012864 Issued in CA
Practice address
2611 N Dinuba Blvd
Visalia, CA 93291-9003
Phone
(559) 623-0700
NPI assigned
Jan 8, 2020
Last updated
Jul 11, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95012864 CA Primary

Addresses

Primary practice location

2611 N Dinuba Blvd
Visalia, CA 93291-9003

Mailing address

2611 N Dinuba Blvd
Visalia, CA 93291-9003
Phone (559) 623-0700

Other practice location 1

1093 11th St
Reedley, CA 93654-2950
Phone (559) 743-7340

Other practice location 2

319 N Church St
Visalia, CA 93291-5008
Phone (855) 733-7772

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
95012864CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Corporate Medical Services Inc. PastSince May 9, 2021 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1578441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657497600000",
    "number": "1033759964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2611 N DINUBA BLVD",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932919003",
            "telephone_number": "559-623-0700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2611 N DINUBA BLVD",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932919003",
            "telephone_number": "559-623-0700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1093 11th St",
            "address_purpose": "LOCATION",
            "city": "Reedley",
            "state": "CA",
            "postal_code": "936542950",
            "country_code": "US",
            "telephone_number": "559-743-7340",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "319 N Church St",
            "address_purpose": "LOCATION",
            "city": "Visalia",
            "state": "CA",
            "postal_code": "932915008",
            "country_code": "US",
            "telephone_number": "855-733-7772",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TEESY",
        "first_name": "CHRISTEL",
        "middle_name": "BALANAY",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-08",
        "last_updated": "2022-07-11",
        "certification_date": "2022-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95012864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Visalia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2022; 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.