Active NPI
Theresa Marie Myers, CRNP
- Family Nurse Practitioner
- Carlisle, PA
National Provider Identifier
1790765956
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- UP006241B
- Practice address
- 100 N Hanover St
Carlisle, PA 17013-2421 - Phone
- (717) 241-6673
- NPI assigned
- Jan 21, 2006
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | UP006241B | PA | Primary |
Addresses
Primary practice location
100 N Hanover St
Carlisle, PA 17013-2421
Mailing address
1383 Mountain Rd
Newburg, PA 17240-9132
Phone (717) 423-6907
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 |
|---|---|---|---|
| UP006241B | PA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137801600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1790765956",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1383 MOUNTAIN RD",
"city": "NEWBURG",
"state": "PA",
"postal_code": "172409132",
"telephone_number": "717-423-6907"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 N HANOVER ST",
"city": "CARLISLE",
"state": "PA",
"postal_code": "170132421",
"telephone_number": "717-241-6673"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MYERS",
"first_name": "THERESA",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "PA",
"license": "UP006241B",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carlisle, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.