Active NPI
Sam W Teel, RN
- Home Health Registered Nurse
- Lewisville, TX
National Provider Identifier
1558020883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Registered Nurse
- License
- 692121
- Practice address
- 4400 Hwy 121
Lewisville, TX 75056-4561 - Phone
- (940) 206-9091
- NPI assigned
- Dec 14, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | 692121 | TX | Primary |
Addresses
Primary practice location
4400 Hwy 121
Lewisville, TX 75056-4561
Mailing address
4400 Hwy 121
Lewisville, TX 75056-4561
Phone (940) 206-9091
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | Lewisville | Health Information Exchange (HIE) | |
| CONNECT URL | Lewisville | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 692121 | TX | MD | Home Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1639440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639440000000",
"number": "1558020883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4400 HWY 121",
"city": "LEWISVILLE",
"state": "TX",
"postal_code": "750564561",
"telephone_number": "940-206-9091"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4400 HWY 121",
"city": "LEWISVILLE",
"state": "TX",
"postal_code": "750564561",
"telephone_number": "940-206-9091"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TEEL",
"first_name": "SAM",
"middle_name": "W",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-12-14",
"last_updated": "2021-12-14",
"certification_date": "2021-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": "TX",
"license": "692121",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "Lewisville",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "4400 Hwy 121",
"city": "Lewisville",
"state": "TX",
"country_code": "US",
"postal_code": "750564561",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Lewisville",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "4400 Hwy 121",
"city": "Lewisville",
"state": "TX",
"country_code": "US",
"postal_code": "750564561",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Lewisville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.