Theresa M. Setter, APRN-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F335679 Issued in NY

Practice address

516 E Genesee St
Fayetteville, NY 13066-1537

Phone

(315) 251-1234

Fax

(315) 251-1144

NPI assigned

May 20, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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

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.

• Revitalize Cny, LLC

  • Medical Specialty Clinic/Center
  • Fayetteville, NY
  • NPI 1396103438
  Authorized official Same address or phone
• Theresa Setter NP Family Health PLLC

  dba Revitalize CNY

  • Family Nurse Practitioner
  • Fayetteville, NY
  • NPI 1568184372
  Authorized official Same address or phone

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

{
    "created_epoch": "1179619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735516800000",
    "number": "1114135209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 E GENESEE ST",
            "city": "FAYETTEVILLE",
            "state": "NY",
            "postal_code": "130661537",
            "telephone_number": "315-251-1234",
            "fax_number": "315-251-1144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 E GENESEE ST",
            "city": "FAYETTEVILLE",
            "state": "NY",
            "postal_code": "130661537",
            "telephone_number": "315-251-1234",
            "fax_number": "315-251-1144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SETTER",
        "first_name": "THERESA",
        "middle_name": "M.",
        "credential": "APRN-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-20",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP009331",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00126400",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F335679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hisako Seignemartin, D.D.S.
• Hajrija Selimovic
• Donna Sellinger, RDH
• Sellyei Chiropractic
• Stephanie Senat, PHARMD
• Jordan Sgroi
• Michelle Elizabeth Sgroi, LMFT
• Christine Shaffer, NP
• Madison Drew Sheridan, FNP-C
• Jian Shu, LIC. AC.

• Family Nurse Practitioner in Fayetteville, NY
• Providers in Fayetteville, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 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.