Individual provider Active NPI

Teresita de Jesus Felpeto

  • Physician Assistant
  • Pinecrest, FL
National Provider Identifier
1295822864
Registry record updated Feb 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9101516 Issued in FL
Practice address
9060 SW 73Rd CT
Pinecrest, FL 33156-2961
Phone
(305) 670-1111
Fax
(350) 670-1110
NPI assigned
Oct 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9101516 FL Primary

Addresses

Primary practice location

9060 SW 73Rd CT
Pinecrest, FL 33156-2961

Mailing address

9060 SW 73Rd CT
Pinecrest, FL 33156-2961
Phone (305) 670-1111

Other identifiers 1

IdentifierTypeStateIssuer
PA 9101516OtherFLPHYSICIAN ASSISTANT

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)
Not enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9101516FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Debra Price MD PA PastSince Aug 11, 2014 Accepting new patients
Steven Price MD PA Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/ez_00071

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": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645660800000",
    "number": "1295822864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9060 SW 73RD CT",
            "city": "PINECREST",
            "state": "FL",
            "postal_code": "331562961",
            "telephone_number": "305-670-1111",
            "fax_number": "350-670-1110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9060 SW 73RD CT",
            "city": "PINECREST",
            "state": "FL",
            "postal_code": "331562961",
            "telephone_number": "305-670-1111",
            "fax_number": "350-670-1110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELPETO",
        "first_name": "TERESITA DE JESUS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-06",
        "last_updated": "2022-02-24",
        "certification_date": "2021-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9101516",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN ASSISTANT",
            "identifier": "PA 9101516",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinecrest, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2022; 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.