Alice M. Teall, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

FNP 0346682-22 Issued in OH

Practice address

204 Patrick Ave
Urbana, OH 43078-2302

Phone

(937) 484-6181

NPI assigned

Nov 27, 2006

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413158400000",
    "number": "1487720157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 PATRICK AVE",
            "city": "URBANA",
            "state": "OH",
            "postal_code": "430782302",
            "telephone_number": "937-484-6181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 PATRICK AVE",
            "city": "URBANA",
            "state": "OH",
            "postal_code": "430782302",
            "telephone_number": "937-484-6181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEALL",
        "first_name": "ALICE",
        "middle_name": "M.",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-27",
        "last_updated": "2014-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "FNP 0346682-22",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2477207",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Family Nurse Practitioner in Urbana, OH
• Providers in Urbana, OH by specialty
• Family Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2014; 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.