Therese Marie Steinmetz, MSN, PNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

71002075A Issued in IN

Practice address

100 Navarre PL
Suite 4440
South Bend, IN 46601-1156

Phone

(574) 647-4540

Fax

(574) 647-4542

NPI assigned

Feb 27, 2006

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

Other identifiers 1

Other names 1

• Therese Marie Carlson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

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

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234224000000",
    "number": "1417923756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3355 DOUGLAS RD",
            "address_2": "SUITE 300",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466351781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 NAVARRE PL",
            "address_2": "SUITE 4440",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466011156",
            "telephone_number": "574-647-4540",
            "fax_number": "574-647-4542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEINMETZ",
        "first_name": "THERESE",
        "middle_name": "MARIE",
        "credential": "MSN, PNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-27",
        "last_updated": "2009-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "IN",
            "license": "71002075A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200804970",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THERESE",
            "last_name": "CARLSON",
            "middle_name": "MARIE",
            "credential": "MSN, PNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Susan Steibe-Pasalich, PH.D.
• Sorah Stein, M.A., BCBA, CSE
• Michael Frederick Steinberg, MD
• Morgan Anne Steinike
• Michael D Steinke
• Linda Ann Stenger, MSW, LCSW
• Stephen F. Mitros, M.D., P.C.
• Brett A Stephens, M.D.
• Doriana Da'Shayla Stephens
• Ann Stephenson, RBT

• Pediatric Nurse Practitioner in South Bend, IN
• Providers in South Bend, IN by specialty
• Pediatric Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2009; 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.