Teeraporn Wells, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN9201196 Issued in FL

Practice address

211 Caroline St Ofc
Cape Canaveral, FL 32920-2763

Phone

(321) 848-5393

NPI assigned

Feb 23, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Teeraporn Miller Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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

{
    "created_epoch": "1329955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631577600000",
    "number": "1366716227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 CAROLINE ST OFC",
            "city": "CAPE CANAVERAL",
            "state": "FL",
            "postal_code": "329202763",
            "telephone_number": "321-848-5393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 CAROLINE ST OFC",
            "city": "CAPE CANAVERAL",
            "state": "FL",
            "postal_code": "329202763",
            "telephone_number": "321-848-5393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLS",
        "first_name": "TEERAPORN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-23",
        "last_updated": "2021-09-14",
        "certification_date": "2021-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP9201196",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN9201196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TEERAPORN",
            "last_name": "MILLER",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Luke Cole Ulmaniec, IDHS
• Ashley Vaden, RDN
• Mary Ward
• Steven Mark Warner, PHD
• Edward James Weiss, D.D.S.
• Anita Jo Anne Winkler, D.O.
• With Love Home Care Services

• Family Nurse Practitioner in Cape Canaveral, FL
• Providers in Cape Canaveral, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2021; 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.