Individual provider Active NPI

Teresa Ann Caruthers, NP

  • Family Nurse Practitioner
  • Ephrata, PA
National Provider Identifier
1356320543
Registry record updated Jul 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP009037 Issued in PA
Practice address
229 Railroad Ave
Ephrata, PA 17522-2327
Phone
(602) 367-6279
NPI assigned
Jan 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP2693 AZ
Family Nurse Practitioner 363LF0000X SP009037 PA Primary
Family Nurse Practitioner 363LF0000X F3362551 NY

Addresses

Primary practice location

229 Railroad Ave
Ephrata, PA 17522-2327

Mailing address

229 Railroad Ave
Ephrata, PA 17522-2327
Phone (602) 367-6279

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20110525000060 PA Practitioner - Nurse Practitioner 2961500111 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP2693AZMDFamily Nurse Practitioner
F3362551NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Reading Hospital CurrentSince Mar 12, 2018 Accepting new patients
Reading Hospital Current Accepting new patients
Reading Hospital CurrentSince Mar 12, 2018 Accepting new patients

Locations

301 S 7th Ave
Ste 225
West Reading, PA 19611
Phone (610) 376-8004

206 S 6th Ave
West Reading, PA 19611
Phone (484) 628-5437

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1137369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469318400000",
    "number": "1356320543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 RAILROAD AVE",
            "city": "EPHRATA",
            "state": "PA",
            "postal_code": "175222327",
            "telephone_number": "602-367-6279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 RAILROAD AVE",
            "city": "EPHRATA",
            "state": "PA",
            "postal_code": "175222327",
            "telephone_number": "602-367-6279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARUTHERS",
        "first_name": "TERESA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-16",
        "last_updated": "2016-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP2693",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP009037",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F3362551",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ephrata, PA

Sources for this page

Verify at the official NPI Registry.