Theresa Pamplona Averion, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

003090 Issued in CT

Practice address

4 Hibbing Way
Newburgh, NY 12550-7044

Phone

(203) 561-9467

NPI assigned

May 26, 2005

Reactivated

Apr 11, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Theresa I Pamplona Former name

Medicare fee-for-service enrollment

Enrolled in NY

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: thp9020@direct.nyp.org

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.

• Weill Medical College of Cornell

  • Psychologist
  • New York, NY
  • NPI 1871692210
  Medicare reassignment NPD
• Weill Medical College of Cornell

  • Cardiovascular Disease Physician
  • New York, NY
  • NPI 1144729385
  NPD
• NP Care, LLC

  • Nurse Practitioner
  • Shelton, CT
  • NPI 1386693182
  NPD (past)

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

{
    "created_epoch": "1117065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242086400000",
    "number": "1356344097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 HIBBING WAY",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125507044",
            "telephone_number": "203-561-9467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 HIBBING WAY",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125507044",
            "telephone_number": "203-561-9467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVERION",
        "first_name": "THERESA",
        "middle_name": "PAMPLONA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-26",
        "last_updated": "2009-05-12",
        "deactivation_date": "2006-03-16",
        "reactivation_date": "2006-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "003090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THERESA",
            "last_name": "PAMPLONA",
            "middle_name": "I",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Athena Womens Wellness
• Laiba Atif
• Richelle Atkins, CASAC-T
• Cheryl Anne Aulogia
• Diane Aurrichio, LMT
• Susan Marie Avezov, NP
• Ahsan Ayaz, MD
• Adeola O Ayodeji, MD
• Annie Samina Aziz, MD
• Shoib Aziz, MD

• Family Nurse Practitioner in Newburgh, NY
• Providers in Newburgh, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2009; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.