Anita Ann Teal

Primary specialty

CounselorTaxonomy code 101Y00000X

License

059100301 Issued in TN

Practice address

207 W Blackwell St
Tullahoma, TN 37388-3395

Phone

(931) 461-0290

NPI assigned

Jan 23, 2013

Last updated

Jan 23, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Centerstone

  • Mental Illness Community Based Residential Treatment Facility
  • Tullahoma, TN
  • NPI 1508098187
  NPD (past)

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

{
    "created_epoch": "1358899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358899200000",
    "number": "1568700730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "344 EMMETT STONE LN",
            "city": "NORMANDY",
            "state": "TN",
            "postal_code": "373603133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 W BLACKWELL ST",
            "city": "TULLAHOMA",
            "state": "TN",
            "postal_code": "373883395",
            "telephone_number": "931-461-0290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEAL",
        "first_name": "ANITA",
        "middle_name": "ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-23",
        "last_updated": "2013-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TN",
            "license": "059100301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaunita Southard Tate
• Audrea Lacey Landers Taylor, APRN, FNP-C
• Barbara Jan Taylor, PHARMD
• Ian S Taylor, MD
• Janet Lynn Taylor
• Tenn HQ, Inc. (Home Instead Senior Care)
• Tennessee CVS Pharmacy LLC (CVS Pharmacy #04466)
• Tennessee Oncology
• Tennessee Oncology Pharmacy Dispensing
• Tennessee Oncology Pharmacy Dispensing

• Counselor in Tullahoma, TN
• Providers in Tullahoma, TN by specialty
• Counselor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.