Timothy Ray Teusink

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD00018358 Issued in WA

Practice address

1300 N 1St St
Yakima, WA 98901-1702

Phone

(509) 853-4327

Fax

(509) 853-1007

NPI assigned

Mar 29, 2023

Sex

Male

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": "1680048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680048000000",
    "number": "1194429431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6119 SUMMITVIEW AVE APT 10",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989083005",
            "telephone_number": "509-208-4912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 N 1ST ST",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989011702",
            "telephone_number": "509-853-4327",
            "fax_number": "509-853-1007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEUSINK",
        "first_name": "TIMOTHY",
        "middle_name": "RAY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-03-29",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00018358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yolanda Tena Gutierrez
• Ashley Stormo Tercero, DDS
• Andrew Terrell
• Alenka Terzic
• David M. Teske, RD
• Bradley Darrell Tew, D.D.S.
• Darrell K. Tew, DDS
• Derek Tew, DDS
• Sunshine Hnuchi Thao
• The Birth House by Sky Valley Midwifery, PLLC

• Family Medicine Physician in Yakima, WA
• Providers in Yakima, WA by specialty
• Family Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2023; 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.