Individual provider Active NPI

Teresa Teal Richardson, FNP-C

  • Family Nurse Practitioner
  • Watertown, NY
National Provider Identifier
1669192605
Registry record updated Jun 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F349705-01 Issued in NY
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

Updated by the provider on Jun 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221208002366 NY Practitioner - Nurse Practitioner 4183093412 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
F349705-01NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North Country Family Health Center, Inc. CurrentSince Oct 10, 2022 Accepting new patients
North Country Family Health Center, Inc. CurrentSince Oct 10, 2022 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.