Teresa Marie McLean, ARNP-BC

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

ARNP 9357114 Issued in FL

Practice address

4200 NW 90TH Blvd
Gainesville, FL 32606-3809

Phone

(352) 378-2121

Fax

(352) 379-6206

NPI assigned

Jul 6, 2016

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1467763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508371200000",
    "number": "1457703183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4611 NW 53RD AVE",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326534898",
            "telephone_number": "352-371-0301",
            "fax_number": "352-371-4635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 NW 90TH BLVD",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326063809",
            "telephone_number": "352-378-2121",
            "fax_number": "352-379-6206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLEAN",
        "first_name": "TERESA",
        "middle_name": "MARIE",
        "credential": "ARNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-06",
        "last_updated": "2017-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "ARNP 9357114",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "020177500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aliyah McLean, RD
• Carali McLean, MSW, LCSW
• David Anthony McLean, M.D.
• Frederick Wallace McLean, MD
• Kelcey Micayla McLean, APRN
• Diana McLemore, RN
• Lane Allison McLendon, MD
• McLeod Family Chiropractic LLC
• Alicia Anna-Mae McLeod
• Barry McLeod

• Adult Health Nurse Practitioner in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Adult Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.