Teagan Chelsea Spirk

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

95026496 Issued in CA

Practice address

1041 E Yorba Linda Blvd Ste 302
Placentia, CA 92870-3762

Phone

(657) 275-9227

NPI assigned

Aug 23, 2023

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 CA

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Array Skin Therapy, a Medical Corporation

  • Dermatology Physician
  • Mission Viejo, CA
  • NPI 1891075123
  Medicare reassignment NPD

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

{
    "created_epoch": "1692748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720483200000",
    "number": "1285418921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1041 E YORBA LINDA BLVD STE 302",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928703762",
            "telephone_number": "657-275-9227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1041 E YORBA LINDA BLVD STE 302",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928703762",
            "telephone_number": "657-275-9227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPIRK",
        "first_name": "TEAGAN",
        "middle_name": "CHELSEA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-23",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95026496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Kumi Sotowa, PHARMD
• Sounds Smart Speech Therapy
• South Coast Children'S Society, Inc.
• Katelyn Daly Spangenberg, M.A., CCC-SLP
• Spectrum Surgery Center, Inc.
• St. John the Beloved Hospice, Inc.
• Joshua Patrick Stafford
• Sharon Lee Stafford, PHD
• Julie Stefan, LCSW
• Louise Lefren Steiner, M.S.,MFT

• Nurse Practitioner in Placentia, CA
• Providers in Placentia, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.