Teak Erin Nelson, MS, RN-CS, CFNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2000166198 Issued in MO

Practice address

2002 North Baltimore St
Kirksville, MO 63501

Phone

(660) 665-5672

Fax

(660) 665-1626

NPI assigned

Oct 4, 2007

Sex

Female

Sole proprietor

No

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

Credentials

Master of Science, Nurse Practitioner

State licenses

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

{
    "created_epoch": "1191456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191456000000",
    "number": "1700074648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2002 NORTH BALTIMORE ST",
            "address_2": "PO BOX 763",
            "city": "KIRKSVILLE",
            "state": "MO",
            "postal_code": "63501",
            "telephone_number": "660-665-5672",
            "fax_number": "660-665-1626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2002 NORTH BALTIMORE ST",
            "city": "KIRKSVILLE",
            "state": "MO",
            "postal_code": "63501",
            "telephone_number": "660-665-5672",
            "fax_number": "660-665-1626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "TEAK",
        "middle_name": "ERIN",
        "credential": "MS, RN-CS, CFNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-04",
        "last_updated": "2007-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2000166198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• N E Missouri Orthopedic Associates
• Madeline S Nash, LPC
• Shoeleh Navab-Hamidi, DDS
• Nathan Joseph Conrad Needham, D.O.
• Summer M. Nelson, LPC
• Alexandra Julia Nemeth
• Nemo Senior Citizens Services, Inc.
• Nemo Senior Citizens Services, Inc.
• Nes Missouri Inc
• Emily Nettles

• Family Nurse Practitioner in Kirksville, MO
• Providers in Kirksville, MO by specialty
• Family Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 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.