Terese Sybor

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0024175456 Issued in VA

Practice address

6100 Daylong LN Ste 105
Clarksville, MD 21029-1631

Phone

(888) 528-8321

NPI assigned

Oct 3, 2017

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

Enrolled in MD, DC2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Kelly Goodman, NP and Associates PCGroup PAC ID 0042344988, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: terese.sybor.2@8769.direct.athenahealth.com
• Direct secure messaging: terese.sybor.1@8769.direct.athenahealth.com

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.

• Kelly Goodman NP & Associates PC

  • Primary Care Nurse Practitioner
  • Bethesda, MD
  • NPI 1740503689

  DC, Family

  Medicare reassignment Care Compare group NPD
• Kelly Care, LLC

  • Primary Care Nurse Practitioner
  • Clarksville, MD
  • NPI 1659852580
  Medicare reassignment NPD
• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1506988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741737600000",
    "number": "1225548308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3328 PARKFORD MANOR TER APT C",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209046155",
            "telephone_number": "703-967-8581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 DAYLONG LN STE 105",
            "city": "CLARKSVILLE",
            "state": "MD",
            "postal_code": "210291631",
            "telephone_number": "888-528-8321"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4701 Sangamore Rd Ste S207",
            "address_purpose": "LOCATION",
            "city": "Bethesda",
            "state": "MD",
            "postal_code": "208162529",
            "country_code": "US",
            "telephone_number": "202-684-7167",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SYBOR",
        "first_name": "TERESE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-03",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024175456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gracie Smith, D.D.S
• Jennifer A Sokolosky, DMD
• Hyun Joo Son, PHARM. D.
• Oluwateniayo Sopitan, PHARMD, RPH
• Dana Stalling
• Janis A Taaffe, ATC
• Lisa Ruth Taddei, M.S., CCC-SLP
• Ross E Taubman, D.P.M.
• Teresa Heitzmann, MSPT, LLC
• The Family Garden LLC

• Family Nurse Practitioner in Clarksville, MD
• Providers in Clarksville, MD by specialty
• Family Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2025; 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.