Individual provider Active NPI

Teresa Marie Stephenson, RN, BSN, CCRN

  • Administrator Registered Nurse
  • Fort Worth, TX
National Provider Identifier
1043487879
Registry record updated May 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Administrator Registered NurseTaxonomy code 163WA2000X
License
540799 Issued in TX
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

Updated by the provider on May 12, 2008

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

Specialties & licenses 13

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
540799TXMDDiabetes 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.

Verify at the official NPI Registry.