Active NPI
Terressa Nelson, RN, BSN
- Registered Nurse
- Grapeland, TX
National Provider Identifier
1750039640
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 1063512
- Practice address
- 215 Forrest St
Grapeland, TX 75844-3174 - Phone
- (210) 772-4864
- NPI assigned
- Mar 10, 2022
- Last updated
- Oct 16, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 1063512 | TX | Primary |
| Naturopath | 175F00000X | 175720 | TX |
Addresses
Primary practice location
215 Forrest St
Grapeland, TX 75844-3174
Mailing address
215 Forrest St
Grapeland, TX 75844-3174
Phone (210) 772-4864
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Bachelor on Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1063512 | TX | MD | Registered Nurse |
| 175720 | TX | MD | Naturopath |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646870400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729036800000",
"number": "1750039640",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 FORREST ST",
"city": "GRAPELAND",
"state": "TX",
"postal_code": "758443174",
"telephone_number": "210-772-4864"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 FORREST ST",
"city": "GRAPELAND",
"state": "TX",
"postal_code": "758443174",
"telephone_number": "210-772-4864"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "TERRESSA",
"name_prefix": "Mrs.",
"credential": "RN, BSN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-10",
"last_updated": "2024-10-16",
"certification_date": "2024-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TX",
"license": "1063512",
"primary": true
},
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "TX",
"license": "175720",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grapeland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.