Teaera L Roland, APRN, CNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

020672 Issued in OH

Practice address

7170 Ashview LN
Liberty TWP, OH 45011-8721

Phone

(513) 444-7212

NPI assigned

Mar 8, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

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

Certified Nurse Practitioner, 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.

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• Lee Side Wellness Associates, LLC

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• Mindfully Psychiatry LLC

  • Psychiatry Physician
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  Medicare reassignment NPD
• Mindfully, LLC

  • Counselor
  • Jacksonville, FL
  • NPI 1376271981

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1488931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587513600000",
    "number": "1114468261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7170 ASHVIEW LN",
            "city": "LIBERTY TWP",
            "state": "OH",
            "postal_code": "450118721",
            "telephone_number": "513-444-7212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7170 ASHVIEW LN",
            "city": "LIBERTY TWP",
            "state": "OH",
            "postal_code": "450118721",
            "telephone_number": "513-444-7212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROLAND",
        "first_name": "TEAERA",
        "middle_name": "L",
        "credential": "APRN, CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-08",
        "last_updated": "2020-04-22",
        "certification_date": "2020-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "020672",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0267951",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura Elaine Raphael
• Rayan Care Transportation LLC
• Janet Reid
• Restoration Adult Day Services LLC
• Lisa Rena Riley, R.N.
• Karen Sue Romie, SLP
• Charles Rush
• Sheila Ann Salazar, M.S., CCC-SLP
• Erica Nicole Scarborough, RN
• Shannon Maria Scheidt, COTA/L

• Family Nurse Practitioner in Liberty TWP, OH
• Providers in Liberty TWP, OH by specialty
• Family Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 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.