Active NPI
Teresa Sue Thorpe, CNP
- Pediatric Nurse Practitioner
- Moraine, OH
National Provider Identifier
1124245493
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- NP 07109
- Practice address
- 2912 Springboro Rd West
Suite 201
Moraine, OH 45439-1674 - Phone
- (937) 297-8999
- NPI assigned
- Apr 19, 2007
- 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 |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | NP 07109 | OH | Primary |
Addresses
Primary practice location
2912 Springboro Rd West
Suite 201
Moraine, OH 45439-1674
Mailing address
1671 N Laddie CT
Beavercreek, OH 45432-2456
Phone (937) 426-1032
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)
- Enrolled
- Credentials
- Certified Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP 07109 | OH | MD | Pediatric Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346371200000",
"number": "1124245493",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1671 N LADDIE CT",
"city": "BEAVERCREEK",
"state": "OH",
"postal_code": "454322456",
"telephone_number": "937-426-1032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2912 SPRINGBORO RD WEST",
"address_2": "SUITE 201",
"city": "MORAINE",
"state": "OH",
"postal_code": "454391674",
"telephone_number": "937-297-8999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THORPE",
"first_name": "TERESA",
"middle_name": "SUE",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-19",
"last_updated": "2012-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "OH",
"license": "NP 07109",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Moraine, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.