Theresa Susanne Ameri, DNP FNP-BC
Individual provider Active NPI Family Nurse Practitioner · Farmington, NM
NPI 1770848780 · NPPES record last updated Oct 2, 2024
Key facts
- NPI
- 1770848780
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- AP61098358 (WA)
- Practice address
- 1001 W Broadway
Farmington, NM 87401-5638 - Phone
- (505) 325-8022
- NPI assigned
- Jul 6, 2012
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 6
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Multicare Health System
Practice addresses (Care Compare)
222 State Ave N
Kent, WA 98030-4544
Phone (253) 372-7788
315 Martin Luther King Jr Way
Tacoma, WA 98405-4234
Phone (253) 403-2130
317 Martin Luther King Jr Way
Tacoma, WA 98405-4234
317 MLK Jr Way
Multicare Social Work Serv
Tacoma, WA 98405-4234
Phone (253) 403-1126
407 E Main St
Auburn, WA 98002-5504
Phone (253) 545-0044
4700 Point Fosdick Dr
Gig Harbor, WA 98335-1706
Hospital & facility affiliations
- Tacoma General Allenmore Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230113000804 | WA | Practitioner - Nurse Practitioner | 6406091925 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seattle Childrens Hospital | Current |
Accepting new patients | |
| Seattle Children'S Hospital | Current | Accepting new patients | |
| Multicare Health System | Current |
Accepting new patients | |
| Multicare Health System | Current |
Accepting new patients | |
| Seattle Children'S Hospital | Current |
Accepting new patients | |
| Multicare Health System | Current | Accepting new patients |
Locations
1035 116th Ave NE
Bellevue, WA 98004
Phone (425) 451-4141
4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590
8232 W Grandridge Blvd
Kennewick, WA 99336
Phone (509) 582-1700
222 State Ave N
Kent, WA 98030
Phone (253) 372-7680
4800 Sand Point Way NE
Seattle, WA 98105
Phone (206) 526-2000
1780 NW Myhre Rd
Ste 2120
Silverdale, WA 98383
Phone (360) 782-3100
521 S K St
Tacoma, WA 98405
Phone (253) 403-2900
4215 49th Ave NE
Tacoma, WA 98422
Phone (253) 459-7699
Interoperability endpoints
- tameri164936@christushealth.direct-ci.net
- tameri831610@direct.multicare.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0024170105 | VA | |
| Family Nurse Practitioner | 363LF0000X | AP61098358 | WA | Yes |
Addresses
Primary practice location
1001 W Broadway
Farmington, NM 87401-5638
Mailing address
9718 S 245TH PL
Kent, WA 98030-5038
Phone (703) 657-9291
Other providers in Farmington, NM
- Niki Rae Allison
- Fatimah L Almohanna
- Valoree Jean Althoff
- Catherine A Ambrose
- Amdon Innovations LTD
- Amikids Sandoval, Inc.
- Benjamin Amire-Brahimi
- Amplified Home Visiting LLC
- Marisha Anagal
- Ancient of Days Psychiatry
All providers in Farmington, NM · Family Nurse Practitioner in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 2, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.