Elsa Teklu

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LP049618 Issued in AZ

Practice address

9126 W Camelback Rd
Glendale, AZ 85305-3116

Phone

(623) 478-4800

NPI assigned

Aug 22, 2022

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": "1661126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661126400000",
    "number": "1679291983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7320 W EMILE ZOLA AVE",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853816049",
            "telephone_number": "623-203-4561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9126 W CAMELBACK RD",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853053116",
            "telephone_number": "623-478-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEKLU",
        "first_name": "ELSA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-22",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "AZ",
            "license": "LP049618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pawarid Techathaveewat, D.O.
• Lindsey Tegge, RD
• Roseanne Florento Teh, P.T.
• Susan Tek, M.AUD. CCC-A
• Mereon Tekleberhan
• Melissa Teng
• Enis Tenic, PT, DPT
• Anna Tennal, OTD, OTR/L, PYT-C
• Nathan Palmer Tenney, D.M.D.
• Robyn Renee Tennyson, LCSW

• Licensed Practical Nurse in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Licensed Practical Nurse in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2022; 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.