Organization Active NPI

Teapot Ministry Inc

  • Psychiatric/Mental Health Nurse Practitioner
  • Syracuse, NY
National Provider Identifier
1356207575
Registry record updated Feb 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
TEAPOT MINISTRY INC
Practice address
3474 Stiles Rd
Syracuse, NY 13209-1848
Phone
(315) 380-0728
NPI assigned
Dec 31, 2025
Last updated
Feb 18, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
SHELLY LYNN PETERSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 18, 2026

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

Authorized official

Name
Shelly Lynn Peters, PMHNP-BCNPI 1942754015
Title
Executive Director
Phone
(315) 380-0728

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU Primary

Addresses

Primary practice location

3474 Stiles Rd
Syracuse, NY 13209-1848

Mailing address

3474 Stiles Rd
Syracuse, NY 13209-1848
Phone (315) 380-0728

National Provider Directory

National Provider Directory

Locations

3474 Stiles Rd
Syracuse, NY 13209
Phone (315) 380-0728

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1767139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771372800000",
    "number": "1356207575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3474 STILES RD",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132091848",
            "telephone_number": "315-380-0728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3474 STILES RD",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132091848",
            "telephone_number": "315-380-0728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEAPOT MINISTRY INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SHELLY LYNN PETERS",
        "enumeration_date": "2025-12-31",
        "last_updated": "2026-02-18",
        "certification_date": "2026-02-18",
        "status": "A",
        "authorized_official_last_name": "PETERS",
        "authorized_official_first_name": "SHELLY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "315-380-0728",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2026; 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.