Theresa Lynne Vallely, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

433517-1 Issued in NY

Practice address

16 Dartts XRD
Spencer, NY 14883-9410

Phone

(697) 589-7148

Fax

(607) 589-3011

NPI assigned

Mar 5, 2013

Last updated

Mar 5, 2013By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• Spencer Van Etten Central School District

  • Local Education Agency (LEA)
  • Spencer, NY
  • NPI 1578628103
  NPD (past)
• Spencer-Van Etten Central School District

  • Local Education Agency (LEA)
  • Spencer, NY
  • NPI 1679610943
  NPD (past)

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

{
    "created_epoch": "1362441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362441600000",
    "number": "1215278015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 307",
            "city": "SPENCER",
            "state": "NY",
            "postal_code": "148830307",
            "telephone_number": "607-589-7148",
            "fax_number": "607-589-3011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 DARTTS XRD",
            "city": "SPENCER",
            "state": "NY",
            "postal_code": "148839410",
            "telephone_number": "697-589-7148",
            "fax_number": "607-589-3011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALLELY",
        "first_name": "THERESA",
        "middle_name": "LYNNE",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-05",
        "last_updated": "2013-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "433517-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Spencer Emergency First Aid Squad Inc.
• Spencer Van Etten Central School District
• Spencer-Van Etten Central School District
• Melissa Ann Toyryla, RN
• Lisa Trent
• Malissa Watson
• Shawna Westervelt, LPN

• Registered Nurse in Spencer, NY
• Providers in Spencer, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.