Angela Diane Tesar

Primary specialty

Nurse's AideTaxonomy code 376K00000X

License

2033 Issued in NE

Practice address

5606 S 147TH St
Omaha, NE 68137-2648

Phone

(402) 715-8200

NPI assigned

Sep 13, 2017

Last updated

Sep 15, 2017By 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

Other names 1

• Angela Diane Lacey Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Millard Public Schools

  • Preferred Provider Organization
  • Omaha, NE
  • NPI 1023745395
  NPD (past)
• Millard Public Schools

  • Personal Care Attendant
  • Omaha, NE
  • NPI 1164245619
  NPD (past)

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

{
    "created_epoch": "1505260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505433600000",
    "number": "1770002495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5606 S 147TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681372648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5606 S 147TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681372648",
            "telephone_number": "402-715-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TESAR",
        "first_name": "ANGELA",
        "middle_name": "DIANE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-13",
        "last_updated": "2017-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "NE",
            "license": "2033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "LACEY",
            "middle_name": "DIANE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Bryan Scott Teruya, M.D.
• Erin Rachel Terveer, RDH, PHRDH
• Lisa Marie Terwilleger, LIMHP, LPC
• Teryl Corp (Right at Home)
• William Thomas Hillman Terzian, M.D.
• Jennifer Tesar
• Jordan Tesar
• Michele Tesar, CSW
• Andrea Tesarek, OTR/L
• Carissa Tesarek, PA-C

• Nurse's Aide in Omaha, NE
• Providers in Omaha, NE by specialty
• Nurse's Aide in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2017; 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.