Active NPI
Teresa Loera, FNP-C
- Family Nurse Practitioner
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP11478
- Practice address
- 3201 W Peoria Ave
A105
Phoenix, AZ 85029-4609 - Phone
- (602) 918-3225
- Fax
- (833) 992-2059
- NPI assigned
- Oct 11, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN157495 | AZ | |
| Family Nurse Practitioner | 363LF0000X | AP11478 | AZ | Primary |
Addresses
Primary practice location
3201 W Peoria Ave
A105
Phoenix, AZ 85029-4609
Mailing address
3201 W Peoria Ave
A105
Phoenix, AZ 85029-4069
Phone (602) 918-3225
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 545062 | Medicaid | AZ | |
| AP11478 | Other | AZ | CERTIFIED NURSE PRACTITIONER |
| F06182018 | Other | AMERICAN ACADEMY OF NURSE PRACTITIONERS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3201 W Peoria Ave
Suite A105
Phoenix, AZ 85029-4609
Phone (602) 918-3225
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN157495 | AZ | MD | Registered Nurse |
| AP11478 | AZ | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| TL Family Nurse Practice LLC | Current | Accepting new patients | |
| District Medical Group, Inc | Current | Accepting new patients | |
| TL Family Nurse Practice LLC | Current | Accepting new patients | |
| District Medical Group, Inc | Current | Accepting new patients | |
| District Medical Group, Inc | Current | Accepting new patients |
Locations
13055 W McDowell Rd
Ste E101
Avondale, AZ 85392
Phone (480) 515-0900
3141 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 914-1520
2525 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 344-1015
3201 W Peoria Ave
Ste A105
Phoenix, AZ 85029
Phone (602) 841-9720
4150 W Peoria Ave
Ste 122
Phoenix, AZ 85029
Phone (602) 918-3225
2929 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 470-5043
2601 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 220-0298
Interoperability endpoints
- https://api.platform.athenahealth.com/21538/brand/1/csg/1/fhir/r4
- teresa.loera.1@21538.direct.athenahealth.com
- teresa.loera.1@17515.direct.athenahealth.com
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Phoenix, AZ
- NPI 1659998292
-
- Anatomic Pathology & Clinical Pathology Physician
- Phoenix, AZ
- NPI 1336472448
-
- Emergency Medicine Physician
- Phoenix, AZ
- NPI 1144624339
-
- Hematology & Oncology Physician
- Phoenix, AZ
- NPI 1265765374
-
- Family Medicine Physician
- Avondale, AZ
- NPI 1316783889
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630368000000",
"number": "1336614858",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3201 W PEORIA AVE",
"address_2": "A105",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850294069",
"telephone_number": "602-918-3225",
"fax_number": "833-992-2059"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3201 W PEORIA AVE",
"address_2": "A105",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850294609",
"telephone_number": "602-918-3225",
"fax_number": "833-992-2059"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOERA",
"first_name": "TERESA",
"name_prefix": "Ms.",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-11",
"last_updated": "2021-08-31",
"certification_date": "2021-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "AZ",
"license": "RN157495",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AZ",
"license": "AP11478",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "545062",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CERTIFIED NURSE PRACTITIONER",
"identifier": "AP11478",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAN ACADEMY OF NURSE PRACTITIONERS",
"identifier": "F06182018",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.