Nicole Ashley Teal

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

55 E Penn St
Carlisle, PA 17013-2433

Phone

(717) 220-5057

NPI assigned

Oct 15, 2021

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

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

{
    "created_epoch": "1634256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634256000000",
    "number": "1376206581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 E PENN ST",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170132433",
            "telephone_number": "717-701-7729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 E PENN ST",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170132433",
            "telephone_number": "717-220-5057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEAL",
        "first_name": "NICOLE",
        "middle_name": "ASHLEY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-15",
        "last_updated": "2021-10-15",
        "certification_date": "2021-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pranati G Tati, DMD
• Heidi Arlene Taverna, BS, LPTA
• Debra D Taylor, MD
• Heather Rae Taylor, COTA/L
• Jordan Taylor, PHARMD
• Johanna Rich Tesman, PHD.
• The Alliance Home of Carlisle, PA (Chapel Pointe at Carlisle)
• The Arc of Cumberland and Perry Counties
• The Giant Company, LLC (Giant Pharmacy #6112)
• The Giant Company, LLC (Giant Pharmacy 6542)

• Student in an Organized Health Care Education/Training Program in Carlisle, PA
• Providers in Carlisle, PA by specialty
• Student in an Organized Health Care Education/Training Program in Pennsylvania

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