Organization Active NPI

Tlrfio2

  • Gerontology Nurse Practitioner
  • Pipe Creek, TX
National Provider Identifier
1467285189
Registry record updated Oct 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
Legal business name
TLRFIO2
Practice address
464 Redbud LN
Pipe Creek, TX 78063-5950
Phone
(210) 269-1849
NPI assigned
Aug 20, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2025

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

Authorized official

Name
Teresa Michelle Rudd, NPNPI 1154863082
Title
Provider
Phone
(210) 269-1849

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LG0600X Primary

Addresses

Primary practice location

464 Redbud LN
Pipe Creek, TX 78063-5950

Mailing address

8823 Palomino Pony
San Antonio, TX 78254-6380
Phone (210) 753-7787

Other names 1

  • Skin ReGen Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240930000177 TX Part B Supplier - Clinic/Group Practice 9335670546 Receives reassigned benefits from 2 practitioners
Practice locations: Lakehills, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1724112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761004800000",
    "number": "1467285189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8823 PALOMINO PONY",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782546380",
            "telephone_number": "210-753-7787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "464 REDBUD LN",
            "city": "PIPE CREEK",
            "state": "TX",
            "postal_code": "780635950",
            "telephone_number": "210-269-1849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TLRFIO2",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-20",
        "last_updated": "2025-10-21",
        "certification_date": "2025-10-21",
        "status": "A",
        "authorized_official_last_name": "RUDD",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "210-269-1849",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Gerontology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Skin ReGen",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pipe Creek, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.