Individual provider Active NPI

Teresa Fairchild-Pitcher, CRNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Towanda, PA
National Provider Identifier
1255669172
Registry record updated Oct 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
SP010614 Issued in PA
Practice address
1 Elizabeth St
Towanda, PA 18848
Phone
(570) 503-6887
NPI assigned
Dec 4, 2009
Last updated
Oct 11, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X SP010614 PA Primary

Addresses

Primary practice location

1 Elizabeth St
Towanda, PA 18848

Mailing address

1 Elizabeth St
Towanda, PA 18848-1629
Phone (570) 503-6887

Other practice location 1

103A Saint James Pl
Suite 103a
Mansfield, PA 16933-1257
Phone (570) 662-7600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SP010614PAMDPsychiatric/Mental Health Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: tfairchildpitcher189403@direct-guthrie.org

NPI Registry JSON

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

{
    "created_epoch": "1259884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539216000000",
    "number": "1255669172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 ELIZABETH ST",
            "city": "TOWANDA",
            "state": "PA",
            "postal_code": "188481629",
            "telephone_number": "570-503-6887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 ELIZABETH ST",
            "city": "TOWANDA",
            "state": "PA",
            "postal_code": "18848",
            "telephone_number": "570-503-6887"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "103A Saint James Pl",
            "address_2": "SUITE 103A",
            "address_purpose": "LOCATION",
            "city": "Mansfield",
            "state": "PA",
            "postal_code": "169331257",
            "country_code": "US",
            "telephone_number": "570-662-7600",
            "fax_number": "570-662-7726",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAIRCHILD-PITCHER",
        "first_name": "TERESA",
        "name_prefix": "Dr.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-04",
        "last_updated": "2018-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP010614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Towanda, PA

Sources for this page

Verify at the official NPI Registry.