Teresa W Farley, CPNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

230898 Issued in TX

Practice address

1331 Bandera Hwy
Suite 10
Kerrville, TX 78028-9515

Phone

(830) 257-1440

Fax

(830) 257-2542

NPI assigned

Apr 4, 2006

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Pediatric 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.

• Kerrville Pediatrics

  • Pediatric Clinical Nurse Specialist
  • Kerrville, TX
  • NPI 1114292968
  NPD (past)
• Michael S. Fontenot, M.D., P.a.

  • Pediatrics Physician
  • Kerrville, TX
  • NPI 1700101011
  NPD (past)

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

{
    "created_epoch": "1144108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270080000000",
    "number": "1659333722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1331 BANDERA HWY",
            "address_2": "SUITE 10",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780289515",
            "telephone_number": "830-257-1440",
            "fax_number": "830-257-2542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1331 BANDERA HWY",
            "address_2": "SUITE 10",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780289515",
            "telephone_number": "830-257-1440",
            "fax_number": "830-257-2542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARLEY",
        "first_name": "TERESA",
        "middle_name": "W",
        "name_prefix": "Mrs.",
        "credential": "CPNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-04",
        "last_updated": "2010-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "230898",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSING LICENSE",
            "identifier": "230898",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1197055071-02",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Family Practice Associates, P.a.
• Heather F Fannin, MD
• Jon S. Fannin, CRNA
• Farail, P.a. (Kerrville Vaccine)
• Geraldine Farias-Daniels, MD
• Bailey Alexis Faulkenbery, PA
• Taylor Faust, DPT
• Dylan Feigenbaum, DMD
• Laura M Feller, PA
• Dennis Glenn Ferguson

• Pediatric Nurse Practitioner in Kerrville, TX
• Providers in Kerrville, TX by specialty
• Pediatric Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.

Verify at the official NPI Registry.