Tesa S Etchieson, MS ED.

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

1400 Old Country Road Suite C103-N
Westbury, NY 11590

Phone

(516) 806-6969

NPI assigned

Jan 15, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

Practice roles

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.

• Kidz Psychological Services PLLC

  • Clinical Psychologist
  • Garden City, NY
  • NPI 1487326716
  NPD
• Family of Kidz

  • Specialist
  • Westbury, NY
  • NPI 1760313282
  NPD (past)

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

{
    "created_epoch": "1579046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579046400000",
    "number": "1306486501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 OLD COUNTRY ROAD SUITE C103-N",
            "city": "WESTBURY",
            "state": "NY",
            "postal_code": "11590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 OLD COUNTRY ROAD SUITE C103-N",
            "city": "WESTBURY",
            "state": "NY",
            "postal_code": "11590",
            "telephone_number": "516-806-6969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ETCHIESON",
        "first_name": "TESA",
        "middle_name": "S",
        "credential": "MS ED.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-15",
        "last_updated": "2020-01-15",
        "certification_date": "2020-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tesae@gektr.com",
            "affiliation": "N",
            "endpointDescription": "email address",
            "address_1": "1400 Old Country Road Suite C103-N",
            "city": "Westbury",
            "state": "NY",
            "country_code": "US",
            "postal_code": "11590",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tesae@gektr.com",
            "affiliation": "N",
            "endpointDescription": "email address",
            "address_1": "1400 Old Country Road Suite C103-N",
            "city": "Westbury",
            "state": "NY",
            "country_code": "US",
            "postal_code": "11590",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tesae@gektr.com",
            "affiliation": "N",
            "endpointDescription": "email address",
            "address_1": "1400 Old Country Road Suite C103-N",
            "city": "Westbury",
            "state": "NY",
            "country_code": "US",
            "postal_code": "11590",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Melissa Escalante
• Veronica Escobar, LPN
• Mishel Eshaghianpour, DDS
• Maureen Ann Esposito, MS OTR/L
• Andrea M Estrada, LPN
• Kelly Eulner-Tripodi
• Brittany Evans-Spruill
• Michael J Everoski, M.D.
• Express III Management Corp
• Ez Sleep Ny LLC

• Case Manager/Care Coordinator in Westbury, NY
• Providers in Westbury, NY by specialty
• Case Manager/Care Coordinator in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2020; 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.