Teresa Kaye Headstream, F.N.P.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP114252 Issued in TX

Practice address

1665 Antilley Rd
Suite 200
Abilene, TX 79606-5265

Phone

(325) 793-5130

Fax

(325) 793-5133

NPI assigned

Oct 26, 2005

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

Other names 1

• Teresa Kaye Howe Former name

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Nurse Practitioner

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Privia Medical Group West Texas, PLLC 57 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Privia Medical Group West Texas, PLLC

  • Specialist
  • Abilene, TX
  • NPI 1346242567

  TX

  Medicare reassignment Care Compare group NPD
• Privia Medical Group West Texas, PLLC

  • Podiatrist
  • Abilene, TX
  • NPI 1912149758
  Care Compare group
• Privia Medical Group West Texas, PLLC

  • Podiatrist
  • Abilene, TX
  • NPI 1043725062
  NPD
• Privia Medical Group West Texas, PLLC

  • Pathology Specialist/Technologist
  • Abilene, TX
  • NPI 1760482665
  NPD (past)

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

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637020800000",
    "number": "1194715466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5409",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796085409",
            "telephone_number": "325-793-5130",
            "fax_number": "325-793-5133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1665 ANTILLEY RD",
            "address_2": "SUITE 200",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796065265",
            "telephone_number": "325-793-5130",
            "fax_number": "325-793-5133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEADSTREAM",
        "first_name": "TERESA",
        "middle_name": "KAYE",
        "credential": "F.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-26",
        "last_updated": "2021-11-16",
        "certification_date": "2021-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "592049",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP114252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TERESA",
            "last_name": "HOWE",
            "middle_name": "KAYE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sandra Jo Hazelip, DO
• Shari A. Hazlett, SLP
• HB Hearing Health Center LLC
• HB Hearing Health Center LLC
• Ashley Shuzhu He Rinicker, PMHNP-BC, APRN
• Thomas Lee Headstream, M.D.
• Caitlyn M Heald
• Healingwell Therapy Services, PLLC
• Health and Human Services Commission
• Health and Human Services Commission

• All providers in Abilene, TX
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.