Teresa Jo Etherton, FNP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

1019215 Issued in TX

Practice address

8229 Shoal Creek Blvd Ste 105
Austin, TX 78757-7556

Phone

(737) 245-7587

NPI assigned

Nov 9, 2020

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Interoperability endpoints

• Direct secure messaging: teresa.etherton@202362935902212.direct.elationemr.com
• Direct secure messaging: teresa.etherton@597174495543300.direct.elationemr.com

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

{
    "created_epoch": "1604880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676419200000",
    "number": "1356943054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8229 SHOAL CREEK BLVD STE 105",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787577556",
            "telephone_number": "817-939-1322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8229 SHOAL CREEK BLVD STE 105",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787577556",
            "telephone_number": "737-245-7587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ETHERTON",
        "first_name": "TERESA",
        "middle_name": "JO",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-09",
        "last_updated": "2023-02-15",
        "certification_date": "2023-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1019215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isimenmen Etakibuebu, DNP, M.ED., APRN
• Carolyn A. Etheredge, DMD
• Etherton Physical Therapy and Wellness, LLC
• Ashley Etherton, PT, DPT
• Joseph Etherton, PHD
• Ethos Healthcare, Inc. (Ethos Anesthesia)
• Stephanie Ann Etie, M. ED., BCBA, LBA
• Austin Etier, PA-C
• Amelia Etzel, PA
• Hannah Eubank, MA, LPC, LMFT

• Nurse Practitioner in Austin, TX
• Providers in Austin, TX by specialty
• Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 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.