Individual provider Active NPI

Christine Maria Tealdi, PA

  • Medical Physician Assistant
  • Montrose, CO
National Provider Identifier
1295791952
Registry record updated Jul 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
1334 Issued in CO
Practice address
401 S Park Ave
Montrose, CO 81401-5741
Phone
(970) 240-8199
Fax
(970) 249-9185
NPI assigned
Apr 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 1334 CO Primary

Addresses

Primary practice location

401 S Park Ave
Montrose, CO 81401-5741

Mailing address

401 S Park Ave
Montrose, CO 81401-5741
Phone (970) 240-8199

Other identifiers 3

IdentifierTypeStateIssuer
TET46814OtherCOBLUE CROSS/BLUE SHIELD
65724062MedicaidCO
841608597006OtherCOROCKY MOUNTAIN HEALTH PLA

Other names 1

  • Christine Maria Given Former name

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1334COMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Group, LLC Past Accepting new patients
Uncompahgre Combined Clinics Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1145577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216857600000",
    "number": "1295791952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 S PARK AVE",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814015741",
            "telephone_number": "970-240-8199",
            "fax_number": "970-249-9185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 S PARK AVE",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814015741",
            "telephone_number": "970-240-8199",
            "fax_number": "970-249-9185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEALDI",
        "first_name": "CHRISTINE",
        "middle_name": "MARIA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-21",
        "last_updated": "2008-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CO",
            "license": "1334",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "TET46814",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65724062",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ROCKY MOUNTAIN HEALTH PLA",
            "identifier": "841608597006",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINE",
            "last_name": "GIVEN",
            "middle_name": "MARIA",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Montrose, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2008; 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.