Anneliese Marie Tebedo, FNP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

5018742 Issued in NC

Practice address

149 Logan CT Ste B
Angier, NC 27501-8579

Phone

(910) 292-9576

NPI assigned

Sep 26, 2023

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

Other names 1

• Anneliese Marie Casey Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1695686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695686400000",
    "number": "1316726649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 LOGAN CT STE B",
            "city": "ANGIER",
            "state": "NC",
            "postal_code": "275018579",
            "telephone_number": "910-292-9576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 LOGAN CT STE B",
            "city": "ANGIER",
            "state": "NC",
            "postal_code": "275018579",
            "telephone_number": "910-292-9576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEBEDO",
        "first_name": "ANNELIESE",
        "middle_name": "MARIE",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-26",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5018742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNELIESE",
            "last_name": "CASEY",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Adam Eric Spriggs, D.D.S.
• Shannon Marie Staiger, LCMHC
• Elizabeth Lynn Stanton, PT, DPT, LAT, ATC
• Trina Stephenson
• Diego Studart
• The Autumn Group, Inc.
• John Arthur Thomason, PH.D.
• Melissa Tittinger, PHARMD
• Triangle Healthcare Training Center
• Glenn Tripp, PA

• Nurse Practitioner in Angier, NC
• Providers in Angier, NC by specialty
• Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2023; 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.