Teondra Bannerman

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CADC-26186 Issued in NC

Practice address

318 S Sycamore St
Rose Hill, NC 28458

Phone

(910) 447-2509

NPI assigned

May 21, 2019

Last updated

Aug 3, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Connecting Hearts Home Care, LLC

  • PACE Provider Organization
  • Rose Hill, NC
  • NPI 1851034847
  NPD Authorized official
• Connecting Hearts Family Care Homes, LLC

  • Clinical Medical Laboratory
  • Rose Hill, NC
  • NPI 1427713619
  Authorized official Same address or phone

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

{
    "created_epoch": "1558396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596412800000",
    "number": "1487211827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 312",
            "city": "ROSE HILL",
            "state": "NC",
            "postal_code": "284580312",
            "telephone_number": "910-379-5707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 S SYCAMORE ST",
            "city": "ROSE HILL",
            "state": "NC",
            "postal_code": "28458",
            "telephone_number": "910-447-2509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANNERMAN",
        "first_name": "TEONDRA",
        "name_prefix": "Miss",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-21",
        "last_updated": "2020-08-03",
        "certification_date": "2020-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "CADC-26186",
            "primary": true
        },
        {
            "code": "376G00000X",
            "taxonomy_group": "",
            "desc": "Nursing Home Administrator",
            "state": "NC",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Jane Acosta, MSSW, LCSWA
• Jessamyn Lynn Angelastro, LCSW
• Angie's House of Love & Patience
• Pamela Bannerman-Smith, MS LCAS
• Bre'Anna Best
• Bethel Care Home, Inc.
• Kimberly M Blanchard, PHARMD
• Blizzard Family Care Home, Inc.
• Galina Bogdanova, MPA-C

• Addiction (Substance Use Disorder) Counselor in Rose Hill, NC
• Providers in Rose Hill, NC by specialty
• Addiction (Substance Use Disorder) Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2020; 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.