Individual provider Active NPI

Veronica Teran, CPNP

  • Pediatric Nurse Practitioner
  • Denton, TX
National Provider Identifier
1043565815
Registry record updated Apr 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
AP122036 Issued in TX
Practice address
4308 Mesa Dr
Denton, TX 76207-3459
Phone
(940) 381-1501
Fax
(940) 591-7830
NPI assigned
Jul 18, 2012
Last updated
Apr 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X AP122036 TX Primary

Addresses

Primary practice location

4308 Mesa Dr
Denton, TX 76207-3459

Mailing address

4401 N Interstate 35 Unit 312
Denton, TX 76207-3318
Phone (940) 381-1501

Other identifiers 1

IdentifierTypeStateIssuer
303715207MedicaidTX

Other names 1

  • Veronica Teran Puente Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250108001481 TX Practitioner - Nurse Practitioner 5597293357 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Pediatric Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP122036TXMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Health Services of North Texas, Inc. CurrentSince Oct 28, 2024 Accepting new patients
Health Services of North Texas, Inc. CurrentSince Oct 28, 2024 Accepting new patients
Health Services of North Texas, Inc. Past Accepting new patients

Locations

306 N Loop 288
Ste 200
Denton, TX 76209

4304 Mesa Dr
Denton, TX 76207
Phone (502) 724-6044

4308 Mesa Dr
Denton, TX 76207

4401 N Interstate 35
Unit 312
Denton, TX 76207

1407 14th St
Plano, TX 75074
Phone (972) 801-9689

Organizations & group practices 3

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": "1342569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713830400000",
    "number": "1043565815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4401 N INTERSTATE 35 UNIT 312",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762073318",
            "telephone_number": "940-381-1501",
            "fax_number": "940-566-8059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4308 MESA DR",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762073459",
            "telephone_number": "940-381-1501",
            "fax_number": "940-591-7830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERAN",
        "first_name": "VERONICA",
        "credential": "CPNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-18",
        "last_updated": "2024-04-23",
        "certification_date": "2024-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "AP122036",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "303715207",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VERONICA",
            "last_name": "PUENTE",
            "middle_name": "TERAN",
            "credential": "CPNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Denton, TX

Sources for this page

Verify at the official NPI Registry.