Melissa Lynn Teetsel, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN695396 Issued in PA

Practice address

155 E Northampton St
Wilkes Barre, PA 18701-3401

Phone

(570) 822-8791

NPI assigned

Apr 9, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1617926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617926400000",
    "number": "1063092591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 STATE ROUTE 3009",
            "city": "MESHOPPEN",
            "state": "PA",
            "postal_code": "186308384",
            "telephone_number": "570-814-1984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 E NORTHAMPTON ST",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187013401",
            "telephone_number": "570-822-8791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEETSEL",
        "first_name": "MELISSA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-09",
        "last_updated": "2021-04-09",
        "certification_date": "2021-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN695396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Devaney Taylor, PHARMD, RPH
• Ruthann Taylor
• Stacey Marie Taylor, CRNP, MSN, FNP-C
• Moriah M Teed
• Carol Teets, CRNP
• Sarah Nicole Telliard, MD
• Cari M. Tellis, PH.D.
• Eileen Tengco, D.O.
• Victoria Anne Terascavage, LPC (LICENSED PROFES
• Mia Terrana, DO

• Registered Nurse in Wilkes Barre, PA
• Providers in Wilkes Barre, PA by specialty
• Registered Nurse in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2021; 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.