Individual provider Active NPI

Teresa Ann Dowling, FNP-BC, PMHNP

  • Family Nurse Practitioner
  • Fort Calhoun, NE
National Provider Identifier
1205169273
Registry record updated Feb 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A123175 Issued in IA
Practice address
4972 County Road 38
Fort Calhoun, NE 68023-5054
Phone
(402) 641-8822
NPI assigned
Sep 9, 2009
Last updated
Feb 6, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 114254 NE
Family Nurse Practitioner 363LF0000X A123175 IA Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X G123175 IA

Addresses

Primary practice location

4972 County Road 38
Fort Calhoun, NE 68023-5054

Mailing address

4972 County Road 38
Fort Calhoun, NE 68023-5054
Phone (402) 641-8822

Other practice location 1

1941 S 42nd St Ste 402D
Omaha, NE 68105-2944
Phone (402) 788-4846

Other identifiers 1

IdentifierTypeStateIssuer
10027821400MedicaidNE

Other names 1

  • Teresa Roth-Dowling Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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

Enrollment IDStateProvider typePAC IDDetails
I20230306001101 NE Practitioner - Nurse Practitioner 2365580339 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4972 County Rd
Suite 38
Fort Calhoun, NE 68023-5054
Phone (402) 641-8822

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
G123175IAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
All Care Health Center Single Specialty CurrentSince May 1, 2013 Accepting new patients
All Care Health Center CurrentSince Jan 17, 2022 Accepting new patients
TD Nurse Practitioner Services, LLC Single Specialty CurrentSince Feb 15, 2023 Accepting new patients

Locations

900 S 6th St
Council Bluffs, IA 51501
Phone (712) 325-1990

902 S 6th St
Council Bluffs, IA 51501
Phone (712) 256-6583

902 S 6th St
Rm A
Council Bluffs, IA 51501

Interoperability endpoints

  • FHIR API: https://webprd.ochin.org/prd-fhir/allcarehealthcenter/api/FHIR/R4

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1252454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675641600000",
    "number": "1205169273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4972 COUNTY ROAD 38",
            "city": "FORT CALHOUN",
            "state": "NE",
            "postal_code": "680235054",
            "telephone_number": "402-641-8822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4972 COUNTY ROAD 38",
            "city": "FORT CALHOUN",
            "state": "NE",
            "postal_code": "680235054",
            "telephone_number": "402-641-8822"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1941 S 42nd St Ste 402D",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681052944",
            "country_code": "US",
            "telephone_number": "402-788-4846",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOWLING",
        "first_name": "TERESA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "FNP-BC, PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-09",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "114254",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A123175",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IA",
            "license": "G123175",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10027821400",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TERESA",
            "last_name": "ROTH-DOWLING",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fort Calhoun, NE

Sources for this page

Verify at the official NPI Registry.