Individual provider Active NPI

Teresa Timms, NP

  • Family Nurse Practitioner
  • Riverside, CA
National Provider Identifier
1083062186
Registry record updated Mar 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP60883509 Issued in WA
Practice address
9010 Magnolia Ave
Riverside, CA 92503-4431
Phone
(951) 509-8780
Fax
(951) 276-6345
NPI assigned
May 31, 2016
Last updated
Mar 10, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP60883509 WA Primary

Addresses

Primary practice location

9010 Magnolia Ave
Riverside, CA 92503-4431

Mailing address

9010 Magnolia Ave
Riverside, CA 92503-4431
Phone (951) 509-8780

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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

Enrollment IDStateProvider typePAC IDDetails
I20250814004659 MO Practitioner - Nurse Practitioner 0840799102 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Big Springs Medical AssociationGroup PAC ID 6709871007, 53 clinicians

Practice addresses (Care Compare)

109 Plum St
Doniphan, MO 63935-1277

220 E Broad St
Naylor Medical Clinic
Naylor, MO 63953-0038
Phone (573) 399-2311

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP60883509WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Big Springs Medical Association Current Accepting new patients
Big Springs Medical Association CurrentSince Jun 9, 2025 Accepting new patients
Big Springs Medical Association CurrentSince Jun 9, 2025 Accepting new patients
Big Springs Medical Association Past Accepting new patients
Big Springs Medical Association Past Accepting new patients

Locations

202 Allen St
Annapolis, MO 63620
Phone (573) 598-4213

109 Leroux St
Doniphan, MO 63935
Phone (573) 996-2136

109 Plum St
Doniphan, MO 63935
Phone (573) 776-2136

109 Plum St
Ste B
Doniphan, MO 63935
Phone (573) 351-0220

3277 US Highway 160 W
Doniphan, MO 63935

110 S 2nd St
Ellington, MO 63638
Phone (573) 663-2316

61 Highway Y
Ellington, MO 63638
Phone (573) 663-2525

1 Hals Plz
Piedmont, MO 63957
Phone (573) 223-4800

2210 Barron Rd
Ste 120
Poplar Bluff, MO 63901
Phone (573) 785-2005

2879 James Blvd
Poplar Bluff, MO 63901
Phone (573) 609-8800

18 Viburnum Center Rd
Viburnum, MO 65566
Phone (573) 244-5406

Interoperability endpoints

  • Direct secure messaging: teresa.timms.1@14422.direct.athenahealth.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1464652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615334400000",
    "number": "1083062186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9010 MAGNOLIA AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925034431",
            "telephone_number": "951-509-8780",
            "fax_number": "951-276-6345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9010 MAGNOLIA AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925034431",
            "telephone_number": "951-509-8780",
            "fax_number": "951-276-6345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIMMS",
        "first_name": "TERESA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-31",
        "last_updated": "2021-03-10",
        "certification_date": "2021-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60883509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

Verify at the official NPI Registry.