Active NPI
Amber Marie Teffeau
- Athletic Trainer
- Greensboro, NC
National Provider Identifier
1053094409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- LAT-6310
- Practice address
- 5800 W Friendly Ave
Greensboro, NC 27410 - Phone
- (336) 316-2117
- NPI assigned
- Aug 11, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | LAT-6310 | NC | Primary |
Addresses
Primary practice location
5800 W Friendly Ave
Greensboro, NC 27410
Mailing address
1272 Titus LN
Jacksonville, NC 28540-7554
Other practice location 1
1272 Titus Ln
Jacksonville, NC 28540-7554
Phone (910) 467-3160
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
| License | State | Type | Specialty |
|---|---|---|---|
| LAT-6310 | NC | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774396800000",
"number": "1053094409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1272 TITUS LN",
"city": "JACKSONVILLE",
"state": "NC",
"postal_code": "285407554"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5800 W FRIENDLY AVE",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "27410",
"telephone_number": "336-316-2117"
}
],
"practiceLocations": [
{
"address_1": "1272 Titus Ln",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "NC",
"postal_code": "285407554",
"country_code": "US",
"telephone_number": "910-467-3160",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TEFFEAU",
"first_name": "AMBER",
"middle_name": "MARIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-11",
"last_updated": "2026-03-25",
"certification_date": "2026-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NC",
"license": "LAT-6310",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.