Teri L Selstrom, DNP

Primary specialty

Family Health Clinical Nurse SpecialistTaxonomy code 364SF0001X

License

AP60229000 Issued in WA

Practice address

1815 Cooks Hill Rd Ste B
Centralia, WA 98531-9170

Phone

(360) 807-7776

NPI assigned

Dec 1, 2011

Last updated

Aug 20, 2024By the provider in NPPES

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

Enrolled in WA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Fasa Family Wellness, PLLC

  • Podiatrist
  • Tumwater, WA
  • NPI 1790181899
  Medicare reassignment NPD
• Fasa Family Wellness PLLC

  dba Cascade Foot & Ankle

  • Foot & Ankle Surgery Podiatrist
  • Ellensburg, WA
  • NPI 1992513840
  NPD
• Fasa Family Wellness, PLLC

  • Ambulatory Surgical Clinic/Center
  • Tumwater, WA
  • NPI 1255351714
  NPD
• Western Washington Foot & Ankle Specialists, Inc

  • Foot & Ankle Surgery Podiatrist
  • Centralia, WA
  • NPI 1104921915
  NPD (past)

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

{
    "created_epoch": "1322697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724112000000",
    "number": "1073881397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1815 COOKS HILL RD STE B",
            "city": "CENTRALIA",
            "state": "WA",
            "postal_code": "985319170",
            "telephone_number": "360-807-7776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 COOKS HILL RD STE B",
            "city": "CENTRALIA",
            "state": "WA",
            "postal_code": "985319170",
            "telephone_number": "360-807-7776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELSTROM",
        "first_name": "TERI",
        "middle_name": "L",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-01",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SF0001X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Family Health",
            "state": "WA",
            "license": "AP60229000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shanna Schultz
• Marriane F Schumacher, AAC
• Sarah Scoon, OTR/L
• Rebecca Lynne Scott, MENTAL HEALTH COUNSE
• Andrea Denise Sehmel, RN
• Ndeye Anta Sene
• Elizabeth Christine Seward
• Lynette M Sexton, MSW, LCSW
• Nabeel Shaaban
• Melissa Shafer, LMP

• Family Health Clinical Nurse Specialist in Centralia, WA
• Providers in Centralia, WA by specialty
• Family Health Clinical Nurse Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.