Active NPI
Teressa Mann
- Nurse's Aide
- Cocoa, FL
National Provider Identifier
1114673639
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- License
- CNA101336
- Practice address
- 1617 Cambridge Dr
Cocoa, FL 32922-6507 - Phone
- (321) 480-8154
- NPI assigned
- Feb 23, 2022
- 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 |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | CNA101336 | Primary |
Addresses
Primary practice location
1617 Cambridge Dr
Cocoa, FL 32922-6507
Mailing address
1617 Cambridge Dr
Cocoa, FL 32922-6507
Phone (321) 480-8154
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1645574400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645574400000",
"number": "1114673639",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1617 CAMBRIDGE DR",
"city": "COCOA",
"state": "FL",
"postal_code": "329226507",
"telephone_number": "321-480-8154"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1617 CAMBRIDGE DR",
"city": "COCOA",
"state": "FL",
"postal_code": "329226507",
"telephone_number": "321-480-8154"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANN",
"first_name": "TERESSA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-02-23",
"last_updated": "2022-02-23",
"certification_date": "2022-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": null,
"license": "CNA101336",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cocoa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.