Active NPI
Teresa Marie Stephenson, RN, BSN, CCRN
- Administrator Registered Nurse
- Fort Worth, TX
National Provider Identifier
1043487879
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Administrator Registered Nurse
- License
- 540799
- Practice address
- 7277 Hawkins View Drive
Fort Worth, TX 76132 - Phone
- (817) 423-5611
- Fax
- (817) 423-5577
- NPI assigned
- May 12, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 13
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 540799 | TX | |
| Administrator Registered Nurse | 163WA2000X | 540799 | TX | Primary |
| Critical Care Medicine Registered Nurse | 163WC0200X | 540799 | TX | |
| Community Health Registered Nurse | 163WC1500X | 540799 | TX | |
| Continuing Education/Staff Development Registered Nurse | 163WC1600X | 540799 | TX | |
| Cardiac Rehabilitation Registered Nurse | 163WC3500X | 540799 | TX | |
| Diabetes Educator Registered Nurse | 163WD0400X | 540799 | TX | |
| Home Health Registered Nurse | 163WH0200X | 540799 | TX | |
| Infusion Therapy Registered Nurse | 163WI0500X | 540799 | TX | |
| Nutrition Support Registered Nurse | 163WN1003X | 540799 | TX | |
| Pain Management Registered Nurse | 163WP0000X | 540799 | TX | |
| Rehabilitation Registered Nurse | 163WR0400X | 540799 | TX | |
| Occupational Health Registered Nurse | 163WX0106X | 540799 | TX |
Addresses
Primary practice location
7277 Hawkins View Drive
Fort Worth, TX 76132
Mailing address
8450 Waterfront CT
Fort Worth, TX 76179-2503
Phone (817) 237-0210
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
- Credentials
- Bachelor on Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 540799 | TX | MD | Diabetes Educator Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210550400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210550400000",
"number": "1043487879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8450 WATERFRONT CT",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761792503",
"telephone_number": "817-237-0210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7277 HAWKINS VIEW DRIVE",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "76132",
"telephone_number": "817-423-5611",
"fax_number": "817-423-5577"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEPHENSON",
"first_name": "TERESA",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "RN, BSN, CCRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-05-12",
"last_updated": "2008-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TX",
"license": "540799",
"primary": false
},
{
"code": "163WA2000X",
"taxonomy_group": "",
"desc": "Registered Nurse, Administrator",
"state": "TX",
"license": "540799",
"primary": true
},
{
"code": "163WC0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Critical Care Medicine",
"state": "TX",
"license": "540799",
"primary": false
},
{
"code": "163WC1500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Community Health",
"state": "TX",
"license": "540799",
"primary": false
},
{
"code": "163WC1600X",
"taxonomy_group": "",
"desc": "Registered Nurse, Continuing Education/Staff Development",
"state": "TX",
"license": "540799",
"primary": false
},
{
"code": "163WC3500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Cardiac Rehabilitation",
"state": "TX",
"license": "540799",
"primary": false
},
{
"code": "163WD0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Diabetes Educator",
"state": "TX",
"license": "540799",
"primary": false
},
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": "TX",
"license": "540799",
"primary": false
},
{
"code": "163WI0500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Infusion Therapy",
"state": "TX",
"license": "540799",
"primary": false
},
{
"code": "163WN1003X",
"taxonomy_group": "",
"desc": "Registered Nurse, Nutrition Support",
"state": "TX",
"license": "540799",
"primary": false
},
{
"code": "163WP0000X",
"taxonomy_group": "",
"desc": "Registered Nurse, Pain Management",
"state": "TX",
"license": "540799",
"primary": false
},
{
"code": "163WR0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Rehabilitation",
"state": "TX",
"license": "540799",
"primary": false
},
{
"code": "163WX0106X",
"taxonomy_group": "",
"desc": "Registered Nurse, Occupational Health",
"state": "TX",
"license": "540799",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.