Katheryne Lynn Teveni, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1014387 Issued in TX

Practice address

200 MLK Jr Blvd
Wichita Falls, TX 76301-1152

Phone

(940) 766-6504

NPI assigned

Oct 26, 2020

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

Other identifiers 1

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in TX

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.

• North Central Texas Community Health Care Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Wichita Falls, TX
  • NPI 1255324141
  Medicare reassignment NPD
• North Central Texas Community Health Care Center Inc

  • Federally Qualified Health Center (FQHC)
  • McKinney, TX
  • NPI 1942863667
  NPD
• North Central Texas Community Health Care Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Vernon, TX
  • NPI 1851114367
  NPD

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

{
    "created_epoch": "1603670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641254400000",
    "number": "1306446844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2045 J B RILEY RD",
            "city": "BURKBURNETT",
            "state": "TX",
            "postal_code": "763545754",
            "telephone_number": "432-352-3499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MLK JR BLVD",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763011152",
            "telephone_number": "940-766-6504"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2045 J B Riley Rd",
            "address_purpose": "LOCATION",
            "city": "Burkburnett",
            "state": "TX",
            "postal_code": "763545754",
            "country_code": "US",
            "telephone_number": "432-352-3499",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TEVENI",
        "first_name": "KATHERYNE",
        "middle_name": "LYNN",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-26",
        "last_updated": "2022-01-04",
        "certification_date": "2022-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1014387",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF NURSING",
            "identifier": "1014387",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "kldrn2008@yahoo.com",
            "affiliation": "N",
            "address_1": "2045 J B Riley Rd",
            "city": "Burkburnett",
            "state": "TX",
            "country_code": "US",
            "postal_code": "763545754",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "kldrn2008@yahoo.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2045 J B Riley Rd",
            "city": "Burkburnett",
            "state": "TX",
            "country_code": "US",
            "postal_code": "763545754",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Teresa Schreiber
• Jennifer Marie Terrell, PT
• Terry L. Johnson, M.D., P.a.
• Makeda Gebre Tesfaye, PHARMD
• Katherine Elizabeth Teszler, PMHNP-BC
• Texas Em-I Medical Services PA
• Texas Trauma LLC
• Texas Treatment Services, LLC
• Texoma Family Eye Care Clinic PA
• Texoma Lactation Services, LLC

• Family Nurse Practitioner in Wichita Falls, TX
• Providers in Wichita Falls, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2022; 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.