Teresa Lynn Tate, APRN,BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

51350 Issued in WV

Practice address

106 Lockheed Dr
Beaver, WV 25813-8962

Phone

(304) 253-5155

Fax

(691) 207-7011

NPI assigned

May 15, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Ms. Teresa Lynn Hanft Former name

Medicare fee-for-service enrollment

Enrolled in WV

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, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Anchor Medical LLCGroup PAC ID 2062635691, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/6958/brand/1/csg/1/fhir/r4

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.

• Anchor Medical LLC

  • Nurse Practitioner
  • Beaver, WV
  • NPI 1114342243
  Medicare reassignment Care Compare group NPD Authorized official
• A E Landis MD PC

  • Health Service Clinic/Center
  • Beckley, WV
  • NPI 1407162696
  NPD (past)
• Brian S. Love MD, Inc

  • Family Medicine Physician
  • Beckley, WV
  • NPI 1376796961
  NPD (past)
• Linkous Family Health Care LLC

  • Family Nurse Practitioner
  • Beaver, WV
  • NPI 1255477212
  NPD (past)
• Wvva Health Care Alliance, PC

  • Internal Medicine Physician
  • Low Moor, VA
  • NPI 1255371993
  NPD (past)

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666742400000",
    "number": "1194776039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 LOCKHEED DR",
            "city": "BEAVER",
            "state": "WV",
            "postal_code": "258138962",
            "telephone_number": "304-253-5155",
            "fax_number": "304-536-5031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 LOCKHEED DR",
            "city": "BEAVER",
            "state": "WV",
            "postal_code": "258138962",
            "telephone_number": "304-253-5155",
            "fax_number": "691-207-7011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATE",
        "first_name": "TERESA",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "APRN,BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-15",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "51350",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RXA",
            "identifier": "1611",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810007225",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TERESA",
            "last_name": "HANFT",
            "middle_name": "LYNN",
            "prefix": "MS.",
            "credential": "APRN-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kristen Ashley Smith
• Jeremiah Chase Spicer
• Jasmine Danielle Stavrakis, MSW
• Ann Marie Sumpter, NCC
• Linda K Taft
• Barbara Thomas, BSW, TLSW
• Joseph Alan Trout, PT, DPT, MS, CSCS
• Stephanie Turner
• Tiffiny Tyree
• Cheryl Vernatter

• Family Nurse Practitioner in Beaver, WV
• Providers in Beaver, WV by specialty
• Family Nurse Practitioner in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2022; 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.