Teri Renee Tesdall-Sartori, ARNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

782617 Issued in TX

Practice address

19333 Highway 59 N
Suite 145
Humble, TX 77338-4204

Phone

(281) 540-5437

Fax

(281) 540-2630

NPI assigned

Aug 3, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Teri Renee Tedall-Sartori Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

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 and National Provider Directory roles.

• Wind River Family & Community Healthc Care

  • Federal Public Health Clinic/Center
  • Arapahoe, WY
  • NPI 1285006379
  NPD
• Munoz Pediatrics (Dba) Weekare Pediatrics

  • Pediatrics Physician
  • Humble, TX
  • NPI 1093878506
  NPD (past)

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590537600000",
    "number": "1104834506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19333 HWY 59 NORTH",
            "address_2": "SUITE 145",
            "city": "HUMBEL",
            "state": "TX",
            "postal_code": "77338",
            "telephone_number": "281-540-5437",
            "fax_number": "281-540-2630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19333 HIGHWAY 59 N",
            "address_2": "SUITE 145",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773384204",
            "telephone_number": "281-540-5437",
            "fax_number": "281-540-2630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TESDALL-SARTORI",
        "first_name": "TERI",
        "middle_name": "RENEE",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-03",
        "last_updated": "2020-05-27",
        "certification_date": "2020-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "FL",
            "license": "ARNP2063652",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "782617",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "304787300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TERI",
            "last_name": "TEDALL-SARTORI",
            "middle_name": "RENEE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Pediatric Nurse Practitioner in Humble, TX
• Providers in Humble, TX by specialty
• Pediatric Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2020; 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.