Individual provider Active NPI

Carol Doreen Teacher, MSN

  • General Practice Registered Nurse
  • Latrobe, PA
National Provider Identifier
1376869685
Registry record updated Apr 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice Registered NurseTaxonomy code 163WG0000X
License
RN178245L Issued in PA
Practice address
1001 Ligonier St
Latrobe, PA 15650-1832
Phone
(724) 537-0760
NPI assigned
Apr 12, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X RN178245L PA Primary

Addresses

Primary practice location

1001 Ligonier St
Latrobe, PA 15650-1832

Mailing address

1001 Ligonier St
Latrobe, PA 15650-1832
Phone (724) 537-0760

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
RN178245LPAMDGeneral Practice Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Greg Miscik & Counseling Associates Past Accepting new patients
Diana Lynn Gummo CRNP LLC Past Accepting new patients

Organizations & group practices 2

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": "1271030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271030400000",
    "number": "1376869685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 LIGONIER ST",
            "city": "LATROBE",
            "state": "PA",
            "postal_code": "156501832",
            "telephone_number": "724-537-0760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 LIGONIER ST",
            "city": "LATROBE",
            "state": "PA",
            "postal_code": "156501832",
            "telephone_number": "724-537-0760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEACHER",
        "first_name": "CAROL",
        "middle_name": "DOREEN",
        "credential": "MSN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-12",
        "last_updated": "2010-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "PA",
            "license": "RN178245L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Latrobe, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2010; 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.