Teri Lynn Severson, L.E.

Primary specialty

SpecialistTaxonomy code 174400000X

License

L9307 Issued in CA

Practice address

701 High St Ste 201
Auburn, CA 95603-4734

Phone

(916) 267-1377

NPI assigned

Apr 4, 2023

Last updated

Apr 4, 2023By the provider in NPPES

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

Other names 1

• Mrs. Theresa Lynn Severson Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Teri Severson Electrolysis

  • Other Technician
  • Auburn, CA
  • NPI 1780110130
  NPD (past) Authorized official

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

{
    "created_epoch": "1680566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680566400000",
    "number": "1386349546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1299 SHADOW ROCK DR",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956028446",
            "telephone_number": "916-267-1377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 HIGH ST STE 201",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956034734",
            "telephone_number": "916-267-1377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEVERSON",
        "first_name": "TERI",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "L.E.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-04",
        "last_updated": "2023-04-04",
        "certification_date": "2023-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "L9307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THERESA",
            "last_name": "SEVERSON",
            "middle_name": "LYNN",
            "prefix": "MRS.",
            "credential": "L.E.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Specialist in Auburn, CA
• Providers in Auburn, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 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.