Genevieve Rivera Teetie, FNP-BC

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

SP014718 Issued in PA

Practice address

599 Arcola Rd
Collegeville, PA 19426-3954

Phone

(484) 565-8440

NPI assigned

Feb 4, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Interoperability endpoints

• Direct secure messaging: genevieve.teetie.1@14940.direct.athenahealth.com

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

{
    "created_epoch": "1423008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538092800000",
    "number": "1306236807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3007 SWEDE RD",
            "city": "EAST NORRITON",
            "state": "PA",
            "postal_code": "194011337",
            "telephone_number": "610-742-8324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "599 ARCOLA RD",
            "city": "COLLEGEVILLE",
            "state": "PA",
            "postal_code": "194263954",
            "telephone_number": "484-565-8440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEETIE",
        "first_name": "GENEVIEVE",
        "middle_name": "RIVERA",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-04",
        "last_updated": "2018-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP014718",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "PA",
            "license": "SP014718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kasey Lynn Sundermier
• Robert W Sweetman, M.D.
• Talamo Family Practice Group, PC
• Robert J Talamo, MD
• Cinthia Taylor
• The Dental Spot, LLC
• Debra Schroeder Thompson, MSW
• Judith Elaine Thompson, MS
• Lisa Thude
• Clara C. Tiburcio, MD

• Primary Care Nurse Practitioner in Collegeville, PA
• Providers in Collegeville, PA by specialty
• Primary Care Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2018; 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.