Teela Stewart, NURSE

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

280612 Issued in CA

Practice address

16627 Desert Star St
Victorville, CA 92394-1425

Phone

(951) 205-8224

NPI assigned

Sep 6, 2017

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": "1504656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1700304276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16627 DESERT STAR ST",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923941425",
            "telephone_number": "951-205-8224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16627 DESERT STAR ST",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923941425",
            "telephone_number": "951-205-8224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "TEELA",
        "credential": "NURSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-06",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "280612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cherisse Stevenson
• Teresa M Stewart-Thompson
• Gwendalyn Stewart
• Patrina Stewart
• Sarde Stewart, M.S
• Ethan Gabriel Stine, DC
• Gabriel L Stine, DC
• Olivia Grace Stone, LCSW
• Shanarrah-Lean Ann Stover
• Thomas S Strand, DDS

• Licensed Vocational Nurse in Victorville, CA
• Providers in Victorville, CA by specialty
• Licensed Vocational Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.