Terese J Lund, APN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

10010.189 Issued in WY

Practice address

413 S 21St St
Laramie, WY 82070-4323

Phone

(307) 745-5364

NPI assigned

Aug 3, 2005

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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 and National Provider Directory roles.

• Laramie Valley Medical, PC

  • Internal Medicine Physician
  • Laramie, WY
  • NPI 1720284888
  NPD (past)

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

{
    "created_epoch": "1123027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237161600000",
    "number": "1588665202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 S 21ST ST",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820704323",
            "telephone_number": "307-745-5364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 S 21ST ST",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820704323",
            "telephone_number": "307-745-5364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUND",
        "first_name": "TERESE",
        "middle_name": "J",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-03",
        "last_updated": "2009-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WY",
            "license": "10010.189",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1130731-00",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lsref Golden Ops 14 (Wy), LLC
• Virginia Lubbers
• Brandon Lucas
• Alysea Lucero
• Annmarie Luft
• Maureen Lutterman, PHD,LPC,DCC,NCC
• Rebecca Luze
• Wacey Lym
• Kevin Macartney
• William Paul Madison

• Family Nurse Practitioner in Laramie, WY
• Providers in Laramie, WY by specialty
• Family Nurse Practitioner in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2009; 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.