Active NPI
Teresa Ann Spinosa, N.P.
- Nurse Practitioner
- San Diego, CA
National Provider Identifier
1598069148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 11781
- Practice address
- 4311 3Rd Ave
San Diego, CA 92103-1407 - Phone
- (619) 688-1600
- Fax
- (619) 688-6599
- NPI assigned
- Dec 22, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 11781 | CA | Primary |
Addresses
Primary practice location
4311 3Rd Ave
San Diego, CA 92103-1407
Mailing address
4311 3Rd Ave
San Diego, CA 92103-1407
Phone (619) 688-1600
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11781 | CA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1292976000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1292976000000",
"number": "1598069148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4311 3RD AVE",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921031407",
"telephone_number": "619-688-1600",
"fax_number": "619-688-6599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4311 3RD AVE",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921031407",
"telephone_number": "619-688-1600",
"fax_number": "619-688-6599"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPINOSA",
"first_name": "TERESA",
"middle_name": "ANN",
"credential": "N.P.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-12-22",
"last_updated": "2010-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "11781",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.