Theresa M Pequeen, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F337625-1 Issued in NY

Practice address

38 N Main St
Delevan, NY 14042-9501

Phone

(716) 707-7040

NPI assigned

Feb 18, 2013

Last updated

Feb 18, 2013By the provider in NPPES

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Olean General Hospital

  • General Practice Physician
  • Bradford, PA
  • NPI 1649296781

  Family, NY

  Medicare reassignment NPD
• Olean General Hospital

  dba Foothills Medical Group

  • General Practice Physician
  • Olean, NY
  • NPI 1033499017
  NPD

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

{
    "created_epoch": "1361145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361145600000",
    "number": "1720328412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 N MAIN ST",
            "city": "DELEVAN",
            "state": "NY",
            "postal_code": "140429501",
            "telephone_number": "716-707-7040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 N MAIN ST",
            "city": "DELEVAN",
            "state": "NY",
            "postal_code": "140429501",
            "telephone_number": "716-707-7040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEQUEEN",
        "first_name": "THERESA",
        "middle_name": "M",
        "name_prefix": "Miss",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-18",
        "last_updated": "2013-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F337625-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marybeth Christina Freitas, MS/CCC-SLP
• Paula S Green, LPN
• Andrew John Haynes
• Stacy Kilburn
• Olean Cardiology P C
• S.M.R Cares (Home Helpers & Direct Link 58831)
• Thomas John Sabuda, D.D.S.
• Frederick Sandefer
• Amanda Stang
• Leah Stewart

• Family Nurse Practitioner in Delevan, NY
• Providers in Delevan, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2013; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.