Active NPI
Teresa Teal Richardson, FNP-C
- Family Nurse Practitioner
- Watertown, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F349705-01
- Practice address
- 238 Arsenal St
Watertown, NY 13601-2504 - Phone
- (315) 782-9450
- NPI assigned
- Aug 30, 2022
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F349705-01 | NY | Primary |
Addresses
Primary practice location
238 Arsenal St
Watertown, NY 13601-2504
Mailing address
15747 County Route 156
Watertown, NY 13601-5750
Phone (607) 220-3263
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- State University of Ny Upstate Medical University, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
238 Arsenal St
Watertown, NY 13601-2504
Phone (315) 782-9450
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F349705-01 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Country Family Health Center, Inc. | Current | Accepting new patients | |
| North Country Family Health Center, Inc. | Current | Accepting new patients |
Locations
13180 US Route 11
Adams Center, NY 13606
Phone (315) 583-5200
5402 Dayan St
Ste 100
Lowville, NY 13367
Phone (315) 376-4600
423 N Main St
Mannsville, NY 13661
238 Arsenal St
Watertown, NY 13601
Phone (315) 782-9450
1351 Washington St
Watertown, NY 13601
Phone (315) 785-3700
1220 Coffeen St
Watertown, NY 13601
Phone (315) 786-1042
1237 Washington St
Watertown, NY 13601
Phone (315) 785-3700
1335 Washington St
Watertown, NY 13601
Phone (315) 785-3700
171 E Hoard St
Watertown, NY 13601
Phone (315) 785-3750
Interoperability endpoints
- teresa.bednar.1@21901.direct.athenahealth.com
Organizations & group practices 2
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.
-
- Federally Qualified Health Center (FQHC)
- Watertown, NY
- NPI 1609946821
-
- Federally Qualified Health Center (FQHC)
- Lowville, NY
- NPI 1235928177
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Watertown, NY
- NPI 1598713745
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749600000000",
"number": "1669192605",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15747 COUNTY ROUTE 156",
"city": "WATERTOWN",
"state": "NY",
"postal_code": "136015750",
"telephone_number": "607-220-3263"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "238 ARSENAL ST",
"city": "WATERTOWN",
"state": "NY",
"postal_code": "136012504",
"telephone_number": "315-782-9450"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHARDSON",
"first_name": "TERESA",
"middle_name": "TEAL",
"name_prefix": "Mrs.",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-30",
"last_updated": "2025-06-11",
"certification_date": "2025-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "F349705-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Watertown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.