Julie Ann Teceno, FNP,C

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

4704234579 Issued in MI

Practice address

2487 S Michigan Rd Ste E
Eaton Rapids, MI 48827-8252

Phone

(269) 580-1487

NPI assigned

Feb 3, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

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

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.

• Charis Kai Eleos LLC

  • Family Medicine Physician
  • Eaton Rapids, MI
  • NPI 1578344933
  Medicare reassignment NPD

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

{
    "created_epoch": "1675382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708992000000",
    "number": "1154027910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2487 S MICHIGAN RD STE E",
            "city": "EATON RAPIDS",
            "state": "MI",
            "postal_code": "488278252",
            "telephone_number": "517-836-2178",
            "fax_number": "517-836-2182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2487 S MICHIGAN RD STE E",
            "city": "EATON RAPIDS",
            "state": "MI",
            "postal_code": "488278252",
            "telephone_number": "269-580-1487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TECENO",
        "first_name": "JULIE",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "FNP,C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-03",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704234579",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MI",
            "license": "4704234579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Starr Transitions MHT LLC
• Brianna Sullivan
• Susan L. Courtnage, MD, PC
• Staci Swartz
• Shelley Rae Sysum, PSYD
• Thomas a. Kelly D.O. P.C.
• Laura J Timm, DNP, FNP-C
• Mariah Troutner
• David E Twiss, R.PH.
• Ureche Transitions MHT LLC

• Primary Care Nurse Practitioner in Eaton Rapids, MI
• Providers in Eaton Rapids, MI by specialty
• Primary Care Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.