Active NPI
Teresa Marie Valdes, ARNP
- Pediatric Nurse Practitioner
- Tampa, FL
National Provider Identifier
1578665345
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- ARNP 1855972
- Practice address
- 6726 Hanley Rd
Tampa, FL 33634-4739 - Phone
- (813) 284-7903
- NPI assigned
- Sep 2, 2006
- Last updated
- Nov 5, 2014
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | ARNP 1855972 | FL | Primary |
Addresses
Primary practice location
6726 Hanley Rd
Tampa, FL 33634-4739
Mailing address
6726 Hanley Rd
Tampa, FL 33634-4739
Phone (813) 284-7903
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Y6136 | Other | BLUE CROSS BLUE SHIELD | |
| 212027 | Other | FL | AMERIGROUP |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP 1855972 | FL | MD | Pediatric Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1415145600000",
"number": "1578665345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6726 HANLEY RD",
"city": "TAMPA",
"state": "FL",
"postal_code": "336344739",
"telephone_number": "813-284-7903"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6726 HANLEY RD",
"city": "TAMPA",
"state": "FL",
"postal_code": "336344739",
"telephone_number": "813-284-7903"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALDES",
"first_name": "TERESA",
"middle_name": "MARIE",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-02",
"last_updated": "2014-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "FL",
"license": "ARNP 1855972",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "Y6136",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP",
"identifier": "212027",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.