Jessica Ann Teav, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME108086 Issued in FL

Practice address

3085 Dr Martin Luther King St N
Saint Petersburg, FL 33704-2034

Phone

(727) 822-3238

Fax

(727) 823-1278

NPI assigned

Mar 16, 2011

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jan 1, 2023 through Jan 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Dana Fabiani, MD PLLC

  • Primary Care Clinic/Center
  • Sarasota, FL
  • NPI 1265925135
  NPD (past)
• St Anthony'S Primary Care LLC

  • Family Medicine Physician
  • Clearwater, FL
  • NPI 1629029897
  NPD (past)

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

{
    "created_epoch": "1300233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489449600000",
    "number": "1750680740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10744",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337578744",
            "telephone_number": "727-532-0002",
            "fax_number": "727-266-4943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3085 DR MARTIN LUTHER KING ST N",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337042034",
            "telephone_number": "727-822-3238",
            "fax_number": "727-823-1278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEAV",
        "first_name": "JESSICA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-16",
        "last_updated": "2017-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME108086",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD PROVIDER NUMBER",
            "identifier": "P01372817",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006508700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• TDN Dentistry, PLLC (Contemporary Periodontics & Implant Dentistry)
• Teaching U, LLC
• Team Physicians, LLC
• Caitlyn Teaney
• Daniel Teaney, ATC
• Tectrust Incorporated
• Leah Teekell Taylor, MD
• Mary Lynn Teeter Guarino, APRN
• Christine Tehrani
• Lisa Marie Teixeira

• Family Medicine Physician in Saint Petersburg, FL
• Providers in Saint Petersburg, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2017; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.