Teresa W. Yip, NP (NURSE PRACTITION

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

AG09230125 Issued in OR

Practice address

4363 SW Anderson Road
Forest Grove, OR 97116

Phone

(503) 433-7757

Fax

(503) 433-7762

NPI assigned

Mar 5, 2024

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

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• University Compounders LLC

  • Long Term Care Pharmacy
  • Wilsonville, OR
  • NPI 1164780532
  NPD Authorized official
• Forest Grove Healthcare, LLC

  • Health Service Clinic/Center
  • Hillsboro, OR
  • NPI 1699207324
  NPD (past)

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

{
    "created_epoch": "1709596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709596800000",
    "number": "1740047729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 5TH STREET",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "97045",
            "telephone_number": "971-258-8148",
            "fax_number": "503-387-3817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4363 SW ANDERSON ROAD",
            "city": "FOREST GROVE",
            "state": "OR",
            "postal_code": "97116",
            "telephone_number": "503-433-7757",
            "fax_number": "503-433-7762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YIP",
        "first_name": "TERESA",
        "middle_name": "W.",
        "credential": "NP (NURSE PRACTITION",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-05",
        "last_updated": "2024-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "OR",
            "license": "AG09230125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• King Cheong Brian Wong, DDS
• Eric Brian Woods, L.M.T.
• Jennifer Nicole Wustenberg, RDH
• Nicole Wyman
• Ying Yao, LMT
• Judith Ann Younkins, RPH
• Lorne Yudcovitch, O.D.
• Philip M Zapf, DC
• Frank Zheng
• Jennifer Leanne Ziegler

• Gerontology Nurse Practitioner in Forest Grove, OR
• Providers in Forest Grove, OR by specialty
• Gerontology Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2024; 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.