Active NPI
Teralyn Ga Ling Chang
- Student in an Organized Health Care Education/Training Program
- Bangor, ME
National Provider Identifier
1770069643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- PI45614
- Practice address
- 1 College Cir
Bangor, ME 04401-2929 - Phone
- (207) 941-7000
- NPI assigned
- Jul 13, 2018
- Last updated
- Jul 13, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | PI45614 | ME | Primary |
Addresses
Primary practice location
1 College Cir
Bangor, ME 04401-2929
Mailing address
1047 Kikeke Ave
Honolulu, HI 96816-1646
Phone (808) 284-1178
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 |
|---|---|---|---|
| PI45614 | ME | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531440000000",
"number": "1770069643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1047 KIKEKE AVE",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968161646",
"telephone_number": "808-284-1178"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 COLLEGE CIR",
"city": "BANGOR",
"state": "ME",
"postal_code": "044012929",
"telephone_number": "207-941-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANG",
"first_name": "TERALYN",
"middle_name": "GA LING",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-13",
"last_updated": "2018-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "ME",
"license": "PI45614",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bangor, ME
- Centerwell Certified Healthcare Corp. (CenterWell Home Health)
- Anne Elizabeth Chamberlain Small
- Nicholas Matthew Chamberlain-Nunes, RDH
- Michelle Chamberland, PMH-NP
- Avian Chien Leong Vincent Chang, M.D.
- Carol James Cookson Chapman, LCPC, LADC
- Catherine Charette, LCPC
- Melissa Marie Charette, APRN-C
- Charles H. Gardner, PLLC
- Brianna Rae Charles, PHARM.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.