Brigid Tebaldi

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

3207 Pennsylvania Highway 208
New Wilmington, PA 16142

Phone

(724) 944-3154

NPI assigned

Jul 17, 2024

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 17, 2024.

{
    "created_epoch": "1721174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721174400000",
    "number": "1518705243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3207 PENNSYLVANIA HIGHWAY 208",
            "city": "NEW WILMINGTON",
            "state": "PA",
            "postal_code": "16142",
            "telephone_number": "724-944-3154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3207 PENNSYLVANIA HIGHWAY 208",
            "city": "NEW WILMINGTON",
            "state": "PA",
            "postal_code": "16142",
            "telephone_number": "724-944-3154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEBALDI",
        "first_name": "BRIGID",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-17",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Anthony Frederick Uberti, M.D.
• Monica Aurelia Walls, OTRL

• All providers in New Wilmington, PA
• Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2024; 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.