Active NPI
Teresa O'Connell, ACNP-BC
- Dermatology Physician
- Powell, OH
National Provider Identifier
1770048894
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- APRN.CNP.13182
- Practice address
- 10516 Sawmill Rd # 41
Powell, OH 43065-7299 - Phone
- (614) 401-6363
- NPI assigned
- Feb 2, 2019
- Last updated
- Feb 1, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | APRN.CNP.13182 | OH | Primary |
Addresses
Primary practice location
10516 Sawmill Rd # 41
Powell, OH 43065-7299
Mailing address
10516 Sawmill Rd # 41
Powell, OH 43065-7299
Phone (614) 557-7394
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN.CNP.13182 | OH | MD | Dermatology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1549065600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675209600000",
"number": "1770048894",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10516 SAWMILL RD # 41",
"city": "POWELL",
"state": "OH",
"postal_code": "430657299",
"telephone_number": "614-557-7394"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10516 SAWMILL RD # 41",
"city": "POWELL",
"state": "OH",
"postal_code": "430657299",
"telephone_number": "614-401-6363"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'CONNELL",
"first_name": "TERESA",
"credential": "ACNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-02-02",
"last_updated": "2023-02-01",
"certification_date": "2023-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "OH",
"license": "APRN.CNP.13182",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Powell, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.