Teressa Renee Caballero, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LP046708 Issued in AZ

Practice address

4221 E McDowell Rd Apt 1006
Phoenix, AZ 85008-7403

Phone

(602) 829-6826

NPI assigned

Sep 17, 2013

Last updated

Sep 17, 2013By the provider in NPPES

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1379376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379376000000",
    "number": "1417383902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4221 E MCDOWELL RD APT 1006",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850087403",
            "telephone_number": "602-829-6826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4221 E MCDOWELL RD APT 1006",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850087403",
            "telephone_number": "602-829-6826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABALLERO",
        "first_name": "TERESSA",
        "middle_name": "RENEE",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-17",
        "last_updated": "2013-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "AZ",
            "license": "LP046708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• C&C Therapeutic Services, Inc.
• Caasi Health Services LLC
• Jose Guadalupe Caballero Tinoco
• Catlin Caballero
• Kelsey D Caballero, RD
• Linda Caban, ADULT NURSE PRACTITI
• Meghan Paige Cabanilla, M.S., CCC-SLP
• Mateo Jesus Cabanillas
• Flerida Cabatic, RN
• Monique R Cabellos, MS CCC-SLP

• Licensed Practical Nurse in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Licensed Practical Nurse in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2013; 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.