Theresa Deann O'Leary, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LP00059871 Issued in WA

Practice address

1601 26TH Ave SE
Puyallup, WA 98374-1349

Phone

(253) 841-8746

NPI assigned

Dec 4, 2012

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1354579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354579200000",
    "number": "1134464084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6216 119TH AVE E",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983722825",
            "telephone_number": "253-268-0808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 26TH AVE SE",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983741349",
            "telephone_number": "253-841-8746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'LEARY",
        "first_name": "THERESA",
        "middle_name": "DEANN",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-04",
        "last_updated": "2012-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "WA",
            "license": "LP00059871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tanya L O'Callaghan, OT
• William H O'Grady, DPT
• Haley Christine O'Hora, PA-C
• Patrick John O'Leary
• Samuel O'Leary
• Brittany O'Malley, MS, LAT, ATC
• Karina O'Neill, PA-C
• Laura B O'Rourke, MS, BCBA
• Angela Brooke Oakes
• Elizabeth Irene Oaks

• Licensed Practical Nurse in Puyallup, WA
• Providers in Puyallup, WA by specialty
• Licensed Practical Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.

Verify at the official NPI Registry.