Individual provider Active NPI

Theresa M Steepe

  • Registered Nurse
  • Ballston Lake, NY
National Provider Identifier
1639363658
Registry record updated Sep 3, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
479254 Issued in NY
Practice address
241 Van Vorst Rd
Ballston Lake, NY 12019-2537
Phone
(518) 384-5684
NPI assigned
Sep 3, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 479254 NY Primary

Addresses

Primary practice location

241 Van Vorst Rd
Ballston Lake, NY 12019-2537

Mailing address

241 Van Vorst Rd
Ballston Lake, NY 12019-2537
Phone (518) 384-5684

Other identifiers 1

IdentifierTypeStateIssuer
02147693MedicaidNY

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

LicenseStateTypeSpecialty
479254NYMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1188777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188777600000",
    "number": "1639363658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 VAN VORST RD",
            "city": "BALLSTON LAKE",
            "state": "NY",
            "postal_code": "120192537",
            "telephone_number": "518-384-5684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 VAN VORST RD",
            "city": "BALLSTON LAKE",
            "state": "NY",
            "postal_code": "120192537",
            "telephone_number": "518-384-5684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEEPE",
        "first_name": "THERESA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-03",
        "last_updated": "2007-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "479254",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02147693",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ballston Lake, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2007; 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.