Teresa Ann Eder, DNP, AGACNP-BC, CCRN

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

R159629 Issued in MD

Practice address

22 S Greene St
Baltimore, MD 21201-1544

Phone

(410) 328-8667

NPI assigned

Jul 2, 2019

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

Medicare fee-for-service enrollment

Enrolled in MD

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

Interoperability endpoints

• Direct secure messaging: teder476271@direct.umm.edu

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• University of Maryland Physicians P.a.

  dba University of Maryland Medical Group - Cardiology

  • Cardiovascular Disease Physician
  • Baltimore, MD
  • NPI 1689623175
  Medicare reassignment NPD
• University of Maryland Surgical Associates, PA

  • Specialist
  • Baltimore, MD
  • NPI 1962417634
  Medicare reassignment NPD
• University of Maryland Physicians P.a.

  dba University of Maryland Medical Group

  • Gastroenterology Physician
  • Largo, MD
  • NPI 1619860194
  NPD
• University of Maryland Physicians, P.a.

  dba Univ of MD Med GRP - Gim

  • Internal Medicine Physician
  • Baltimore, MD
  • NPI 1104877075
  NPD
• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)
• University of Maryland Surgcial Assoc PA

  dba University of Maryland Urological Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Baltimore, MD
  • NPI 1083624225
  NPD (past)

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

{
    "created_epoch": "1562025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565740800000",
    "number": "1497317184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 W CLEMENT ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212304237",
            "telephone_number": "443-992-0978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 S GREENE ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011544",
            "telephone_number": "410-328-8667"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "126 W Clement St",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212304237",
            "country_code": "US",
            "telephone_number": "443-992-0978",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDER",
        "first_name": "TERESA",
        "middle_name": "ANN",
        "credential": "DNP, AGACNP-BC, CCRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-02",
        "last_updated": "2019-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MD",
            "license": "R159629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zara Meriata Eden, PT ASSISTANT
• Edenpath ABA Maryland LLC
• Jacquelyn Curreri Edens, RN
• Lewis Charles Eder IV, CRNA
• Paul A Eder, M.D.
• Makeba Rebecca Edges
• Edgewellness LLC &Nursing Services
• Amy Elizabeth Edgeworth, CRNP
• Rachael Judith Edgin, CRNP
• Malka Edinger

• Acute Care Nurse Practitioner in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Acute Care Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2019; 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.