Teresa Cirvello, AGACNP-BC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

AP140774 Issued in TX

Practice address

511 Longworth Blvd
Duncanville, TX 75116-2505

Phone

(817) 201-5760

NPI assigned

Oct 24, 2018

Last updated

May 22, 2019By 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 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jki8699@yourcarecommunity.org

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.

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• Hospitalist Medicine Physicians of Texas, PLLC

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• Ies Hospitalists PLLC

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  Medicare reassignment NPD

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

{
    "created_epoch": "1540339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558483200000",
    "number": "1790252187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 LONGWORTH BLVD",
            "city": "DUNCANVILLE",
            "state": "TX",
            "postal_code": "751162505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 LONGWORTH BLVD",
            "city": "DUNCANVILLE",
            "state": "TX",
            "postal_code": "751162505",
            "telephone_number": "817-201-5760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIRVELLO",
        "first_name": "TERESA",
        "credential": "AGACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-24",
        "last_updated": "2019-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP140774",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "635972",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS SALES AND USE TAX PERMIT",
            "identifier": "32059450257",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Moses Chism Jr., LPC
• Don E Christiansen, D.O.
• Chrysalis Dental Arts PLLC (Beverly Deacon DDS @ Walnut Grove Dental)
• Fred F Ciarochi, M.D.
• Sandra R Ciarochi, LPC
• City of Duncanville (Duncanville Fire Department)
• Rebecca Clarke, MS, CCC-SLP
• Telese Clarke
• Coconut Dental Duncanville PLLC (Coconut Dental)
• Lacey Diane Coffey, APRN

• Nurse Practitioner in Duncanville, TX
• Providers in Duncanville, TX by specialty
• Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.