Terese Tyson Tetzlaff, RN

Primary specialty

Adult Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0809X

License

84481-30 Issued in WI

Practice address

910 Mayer Ave
Madison, WI 53704-4256

Phone

(608) 285-6757

NPI assigned

May 24, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Mrs. Terese Tetzlaff Tyson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1337817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337817600000",
    "number": "1225398134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 GLACIER HILL DR",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537048589",
            "telephone_number": "608-243-8246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 MAYER AVE",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537044256",
            "telephone_number": "608-285-6757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TETZLAFF",
        "first_name": "TERESE",
        "middle_name": "TYSON",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-24",
        "last_updated": "2012-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WI0600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Infection Control",
            "state": "WI",
            "license": "84481-30",
            "primary": false
        },
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "WI",
            "license": "84481-30",
            "primary": true
        },
        {
            "code": "163WX0106X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Occupational Health",
            "state": "WI",
            "license": "84481-30",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TERESE",
            "last_name": "TYSON",
            "middle_name": "TETZLAFF",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Derek T Tessman, DO
• Gregory A Tester, MD
• Michelle C Teteak, M.S.
• Erika Tetrault
• Samantha Tetzlaff, MS
• Elizabeth Tewes, DPT
• Patricia M Thaker, CPNP
• Sheila Kaye Thakor, MD
• Michael Thalasinos, MS-LMFT
• Thao Medical Transit LLC

• Adult Psychiatric/Mental Health Registered Nurse in Madison, WI
• Providers in Madison, WI by specialty
• Adult Psychiatric/Mental Health Registered Nurse in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2012; 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.