Theresa Teverbaugh, RN, APRN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

041280095 Issued in IL

Practice address

16902 Manor Dr
South Holland, IL 60473-4609

Phone

(708) 474-0682

Fax

(708) 474-0766

NPI assigned

Sep 30, 2013

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 names 1

• Theresa Kitchen Teverbaugh Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1380499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380499200000",
    "number": "1508293093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16902 MANOR DR",
            "city": "SOUTH HOLLAND",
            "state": "IL",
            "postal_code": "604734609",
            "telephone_number": "708-474-0682",
            "fax_number": "708-474-0766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16902 MANOR DR",
            "city": "SOUTH HOLLAND",
            "state": "IL",
            "postal_code": "604734609",
            "telephone_number": "708-474-0682",
            "fax_number": "708-474-0766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEVERBAUGH",
        "first_name": "THERESA",
        "credential": "RN, APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-30",
        "last_updated": "2013-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041280095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THERESA",
            "last_name": "KITCHEN TEVERBAUGH",
            "credential": "RN, APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Deborah E Sylvestrak, LCPC
• Natalia Alina Szaflarski, D.O.
• Tamara & Raquel Home Healthcare Agency,L.L.C
• Teresa Denean Tarver, DOULA
• Nicole A Tefera, PSY.D.
• The Link and Option Center, Inc.
• The Link and Option Center, Inc.
• The Link and Option Center, Inc.
• Therapeutic Techniques, Inc.
• Therapeutic Values Prof Corp

• Registered Nurse in South Holland, IL
• Providers in South Holland, IL by specialty
• Registered Nurse in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2013; 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.