Active NPI
Theresa M Oconnor, MSN, RN, CS
- Professional Counselor
- Philadelphia, PA
National Provider Identifier
1205875481
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- RN-200523-L
- Practice address
- 15109 Kallaste Dr
Philadelphia, PA 19116-1408 - Phone
- (215) 673-6591
- Fax
- (215) 673-6591
- NPI assigned
- Jun 5, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | RN-200523-L | PA | Primary |
Addresses
Primary practice location
15109 Kallaste Dr
Philadelphia, PA 19116-1408
Mailing address
15109 Kallaste Dr
Philadelphia, PA 19116-1408
Phone (215) 673-6591
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Specialist, Master of Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN-200523-L | PA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1205875481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15109 KALLASTE DR",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191161408",
"telephone_number": "215-673-6591",
"fax_number": "215-673-6591"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15109 KALLASTE DR",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191161408",
"telephone_number": "215-673-6591",
"fax_number": "215-673-6591"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OCONNOR",
"first_name": "THERESA",
"middle_name": "M",
"name_prefix": "Ms.",
"credential": "MSN, RN, CS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "RN-200523-L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.