Active NPI
Teresa Marcano
- Community Health Registered Nurse
- Ann Arbor, MI
National Provider Identifier
1073939708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Registered Nurse
- License
- 4704146109
- Practice address
- 2215 Fuller Rd
Ann Arbor, MI 48105-2303 - Phone
- (734) 222-7652
- NPI assigned
- Mar 5, 2014
- 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 |
|---|---|---|---|---|
| Community Health Registered Nurse | 163WC1500X | 4704146109 | MI | Primary |
Addresses
Primary practice location
2215 Fuller Rd
Ann Arbor, MI 48105-2303
Mailing address
2215 Fuller Rd
Ann Arbor, MI 48105-2303
Phone (734) 222-7652
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4704146109 | Other | MI | NBOARD OF NURSING REGISTERED NURSE LICENSE |
Other names 1
- Teresa Joan Marcano
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 |
|---|---|---|---|
| 4704146109 | MI | MD | Community Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1393977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1393977600000",
"number": "1073939708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2215 FULLER RD",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481052303",
"telephone_number": "734-222-7652"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2215 FULLER RD",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481052303",
"telephone_number": "734-222-7652"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARCANO",
"first_name": "TERESA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-03-05",
"last_updated": "2014-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "163WC1500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Community Health",
"state": "MI",
"license": "4704146109",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NBOARD OF NURSING REGISTERED NURSE LICENSE",
"identifier": "4704146109",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "TERESA",
"last_name": "MARCANO",
"middle_name": "JOAN",
"credential": "RN",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Ann Arbor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.