Individual provider Active NPI

Rhea Teasley-Bennett, NP

  • Family Medicine Physician
  • Longmont, CO
National Provider Identifier
1427529197
Registry record updated Dec 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
APN.0994353.NP Issued in CO
Practice address
1350 Tulip St
Longmont, CO 80501-3140
Phone
(303) 709-1636
NPI assigned
Dec 6, 2018
Last updated
Dec 6, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X APN.0994353.NP CO Primary

Addresses

Primary practice location

1350 Tulip St
Longmont, CO 80501-3140

Mailing address

1411 Cedarwood Dr
Longmont, CO 80504-8786

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231205000603 CO Practitioner - Nurse Practitioner 4486002243 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APN.0994353.NPCOMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mark W. Hinman, MD, LLC CurrentSince Jul 20, 2023 Accepting new patients

Locations

1350 Tulip St
Longmont, CO 80501
Phone (303) 776-6872

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1544054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544054400000",
    "number": "1427529197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 CEDARWOOD DR",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805048786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 TULIP ST",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805013140",
            "telephone_number": "303-709-1636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEASLEY-BENNETT",
        "first_name": "RHEA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-06",
        "last_updated": "2018-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "APN.0994353.NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longmont, CO

Sources for this page

Verify at the official NPI Registry.