Individual provider Active NPI

Teresa Maresh, CRNA

  • Certified Registered Nurse Anesthetist
  • Laredo, TX
National Provider Identifier
1487605945
Registry record updated Mar 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
710725 Issued in TX
Practice address
2447 Monarch Dr
Apt. 2207
Laredo, TX 78045-6338
Phone
(956) 473-9494
NPI assigned
May 12, 2006
Last updated
Mar 12, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 710725 TX Primary

Addresses

Primary practice location

2447 Monarch Dr
Apt. 2207
Laredo, TX 78045-6338

Mailing address

2447 Monarch Dr
Apt. 2207
Laredo, TX 78045-6338

Other identifiers 3

IdentifierTypeStateIssuer
87717UOtherTXBCBS
171550003MedicaidTX
P00653404OtherTXRAILROAD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040323000791 MI Practitioner - Certified Registered Nurse Anesthetist (Crna) 2062303639 Reassigns benefits to 2 organizations
I20110517000497 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 2062303639 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
710725TXMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Arctic Slope Native Association LTD CurrentSince Jan 1, 2023 Accepting new patients
Mymichigan Medical Center West Branch CurrentSince Dec 1, 2021 Accepting new patients
Mymichigan Medical Center West Branch Current Accepting new patients
Monaco Management, LLC Nurse Anesthetist, Certified Registered CurrentSince Dec 16, 2025 Accepting new patients
Mymichigan Medical Center West Branch Nurse Anesthetist, Certified Registered CurrentSince Dec 1, 2021 Accepting new patients
McLaren Caro Region Past Accepting new patients
Waxahachie Anesthesia Consultant Services PA Nurse Anesthetist, Certified Registered Past Accepting new patients
Laredo Regional Medical Center Nurse Anesthetist, Certified Registered Past Accepting new patients
Alliance Hospital, LTD Past Accepting new patients
Henry Ford Health River District Hospital Nurse Anesthetist, Certified Registered Past Accepting new patients
American Anesthesiology Associates of Michigan, PC Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

300 E Warwick Dr
Alma, MI 48801
Phone (989) 463-0104

4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956

3663 N Country Dr
Traverse City, MI 49684
Phone (231) 252-1228

2463 S M 30
West Branch, MI 48661
Phone (517) 345-3660

Organizations & group practices 11

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": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236816000000",
    "number": "1487605945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2447 MONARCH DR",
            "address_2": "APT. 2207",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780456338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2447 MONARCH DR",
            "address_2": "APT. 2207",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780456338",
            "telephone_number": "956-473-9494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARESH",
        "first_name": "TERESA",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-12",
        "last_updated": "2009-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "710725",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "87717U",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "171550003",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "P00653404",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laredo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2009; 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.