Active NPI
Beth Ann Teegarden, D.O.
- Psychiatry Physician
- Carlsbad, CA
National Provider Identifier
1104894450
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 3590
- Practice address
- 5122 Whitman Way Apt 201
Carlsbad, CA 92008-4652 - Phone
- (918) 645-9717
- NPI assigned
- Mar 11, 2006
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 3590 | OK | Primary |
Addresses
Primary practice location
5122 Whitman Way Apt 201
Carlsbad, CA 92008-4652
Mailing address
5122 Whitman Way Apt 201
Carlsbad, CA 92008-4652
Phone (918) 645-9717
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
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3590 | OK | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142035200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1347494400000",
"number": "1104894450",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5122 WHITMAN WAY APT 201",
"city": "CARLSBAD",
"state": "CA",
"postal_code": "920084652",
"telephone_number": "918-645-9717"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5122 WHITMAN WAY APT 201",
"city": "CARLSBAD",
"state": "CA",
"postal_code": "920084652",
"telephone_number": "918-645-9717"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TEEGARDEN",
"first_name": "BETH",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-11",
"last_updated": "2012-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "OK",
"license": "3590",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carlsbad, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.