Martha Teter, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

NP-02174 Issued in OH

Practice address

359 Forest Ave Ste 203
Dayton, OH 45405-4559

Phone

(937) 226-7414

Fax

(937) 226-1682

NPI assigned

Feb 8, 2007

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Elizabeth'S New Life Center

  • Voluntary or Charitable Agency
  • Dayton, OH
  • NPI 1477769446
  NPD (past)

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337558400000",
    "number": "1780724666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3334 DARBYSHIRE DR",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454403672",
            "telephone_number": "937-427-2027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "359 FOREST AVE STE 203",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454054559",
            "telephone_number": "937-226-7414",
            "fax_number": "937-226-1682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TETER",
        "first_name": "MARTHA",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-08",
        "last_updated": "2012-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "NP-02174",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2103799",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tiffany M Terry
• Christopher Tesarz, RN
• Samuel Teshome
• Tessa Skeens
• Courtney Tester
• Ryan Tetla, MD
• Jennifer R Tettenhorst
• Julie Teuschler
• Jonathan David Thackeray, MD
• Khang Thai

• Family Nurse Practitioner in Dayton, OH
• Providers in Dayton, OH by specialty
• Family Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2012; 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.