Teressa Edenfield, ARNP

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

RN1738452 Issued in FL

Practice address

20370 NE Burns Ave
Blountstown, FL 32424-1045

Phone

(850) 237-3000

Fax

(850) 237-3001

NPI assigned

Feb 15, 2006

Last updated

Feb 5, 2014By 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 1

Addresses

Other identifiers 1

Other names 1

• Mrs. Teressa Edenfield Todd Former name

Medicare fee-for-service enrollment

Enrolled in FL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Calhoun-Liberty Hospital Association Inc

  • Emergency Care Clinic/Center
  • Blountstown, FL
  • NPI 1649596784
  Medicare reassignment NPD

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

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391558400000",
    "number": "1487628392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20370 NE BURNS AVE",
            "city": "BLOUNTSTOWN",
            "state": "FL",
            "postal_code": "324241045",
            "telephone_number": "850-237-3000",
            "fax_number": "850-237-3001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20370 NE BURNS AVE",
            "city": "BLOUNTSTOWN",
            "state": "FL",
            "postal_code": "324241045",
            "telephone_number": "850-237-3000",
            "fax_number": "850-237-3001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDENFIELD",
        "first_name": "TERESSA",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-15",
        "last_updated": "2014-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "RN1738452",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "301696000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TERESSA",
            "last_name": "TODD",
            "middle_name": "EDENFIELD",
            "prefix": "MRS.",
            "credential": "ARNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Emma Deason
• Linda S Deese, ARNP
• Robert Casey Dobson, NP-C
• Tina Denice Dorsey, APRN-FNP-C
• Lana Rae Wood Eberly, DMD
• Candace Edens
• Barry A. Edewaard, O.D.
• Emergystat, Inc
• Misbah I Farooqi, M.D.
• Iqbal Ahmed Faruqui, MD

• Family Medicine Physician in Blountstown, FL
• Providers in Blountstown, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2014; 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.