Individual provider Active NPI

Teresa Louise Byrd, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Ocean City, NJ
National Provider Identifier
1194710079
Registry record updated Oct 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ00000500 Issued in NJ
Practice address
500 E 6TH St
Ocean City, NJ 08226-3826
Phone
(609) 399-1862
Fax
(609) 399-1572
NPI assigned
Sep 15, 2005
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Ocean City Family Practice 3 clinicians
Hospice at Lsmnj, Inc. 5 clinicians

Practice addresses (Care Compare)

500 E 6TH St
Ocean City, NJ 08226-3826
Phone (609) 399-1862

6712 Washington Ave
Suite 302
Egg Harbor Township, NJ 08234-1999
Phone (609) 380-4302

Hospital & facility affiliations

  • Shore Medical Center Hospital, Somers Point, NJ, CCN 310047

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20051011000282 NJ Practitioner - Nurse Practitioner 9739104597 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ00000500NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ocean City Family Practice CurrentSince Apr 3, 2007 Accepting new patients
Hospice at Lsmnj, Inc. CurrentSince May 1, 2019 Accepting new patients

Locations

3 Manhattan Dr
Burlington, NJ 08016
Phone (609) 386-7171

6712 Washington Ave
Ste 302
Egg Harbor Township, NJ 08234
Phone (609) 380-4302

500 E 6th St
Ocean City, NJ 08226
Phone (609) 399-1862

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ00000500 NJ Primary

Addresses

NPPES NPI Registry

Primary practice location

500 E 6TH St
Ocean City, NJ 08226-3826

Mailing address

224 1St Ave
Estell Manor, NJ 08319-1731
Phone (609) 476-2883

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 10, 2007.

{
    "created_epoch": "1126742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191974400000",
    "number": "1194710079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 1ST AVE",
            "city": "ESTELL MANOR",
            "state": "NJ",
            "postal_code": "083191731",
            "telephone_number": "609-476-2883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 E 6TH ST",
            "city": "OCEAN CITY",
            "state": "NJ",
            "postal_code": "082263826",
            "telephone_number": "609-399-1862",
            "fax_number": "609-399-1572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYRD",
        "first_name": "TERESA",
        "middle_name": "LOUISE",
        "name_prefix": "Mrs.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-15",
        "last_updated": "2007-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00000500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocean City, NJ

Sources for this page

Verify at the official NPI Registry.