Jennifer Teel

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

043.075037 Issued in IL

Practice address

607 Buchanan St
Carthage, IL 62321-1401

Phone

(217) 357-3176

NPI assigned

Sep 6, 2017

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 6, 2017.

{
    "created_epoch": "1504656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1504656000000",
    "number": "1063930451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 SE CROSS ST",
            "city": "MT STERLING",
            "state": "IL",
            "postal_code": "623531561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 BUCHANAN ST",
            "city": "CARTHAGE",
            "state": "IL",
            "postal_code": "623211401",
            "telephone_number": "217-357-3176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEEL",
        "first_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-06",
        "last_updated": "2017-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "IL",
            "license": "043.075037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bobbi Skinner
• Tiffany Smith
• Specs Carthage
• Brock Stout
• Superior Performance Eye Care Specialst
• Tammy Sue Teel, MS ED.
• Linda S Tobias, MT-BC
• Vance Chiropractic and Wellness
• Daveda C Voss, NP
• Wear Drug Inc

• All providers in Carthage, IL
• Licensed Practical Nurse in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2017; 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.