Teresa N/a Rea, N/A

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

40030 Issued in CA

Practice address

813 Rosana Place
Nipomo, CA 93444-5605

Phone

(805) 929-4891

NPI assigned

Sep 14, 2007

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

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

{
    "created_epoch": "1189728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229385600000",
    "number": "1629264403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 727",
            "city": "PISMO BEACH",
            "state": "CA",
            "postal_code": "934480727",
            "telephone_number": "805-929-4891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "813 ROSANA PLACE",
            "city": "NIPOMO",
            "state": "CA",
            "postal_code": "934445605",
            "telephone_number": "805-929-4891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REA",
        "first_name": "TERESA",
        "middle_name": "N/A",
        "name_prefix": "Mrs.",
        "credential": "N/A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-14",
        "last_updated": "2008-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "CA",
            "license": "40030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sidney Pham, RPH
• Ashlynn Pierce
• Rebecca Ann Pittenger, PH.D.
• Phillip Bradley Plotz, M.D.
• Prime Care World
• Jordan Mark Reader, DO
• Robert Alan Reed, PHARMD
• Laurie Reifsnyder, PH.D.
• Valerie Jenine Reilly, P.A.
• Emily Renk Hawthorne, D.D.S.

• Non-emergency Medical Transport (VAN) in Nipomo, CA
• Providers in Nipomo, CA by specialty
• Non-emergency Medical Transport (VAN) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2008; 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.