Active NPI
Amber Nicole Tesman, RSA
- Rehabilitation Psychologist
- Champaign, IL
National Provider Identifier
1801063029
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Psychologist
- License
- T25501487607
- Practice address
- 1801 Fox Dr
Champaign, IL 61820-7236 - Phone
- (217) 398-8080
- NPI assigned
- May 15, 2008
- 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 |
|---|---|---|---|---|
| Rehabilitation Psychologist | 103TR0400X | T25501487607 | IL | Primary |
Addresses
Primary practice location
1801 Fox Dr
Champaign, IL 61820-7236
Mailing address
1132 Bel Aire Dr
Rantoul, IL 61866-1617
Phone (217) 892-2798
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 |
|---|---|---|---|
| T25501487607 | IL | MD | Rehabilitation Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210809600000",
"number": "1801063029",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1132 BEL AIRE DR",
"city": "RANTOUL",
"state": "IL",
"postal_code": "618661617",
"telephone_number": "217-892-2798"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1801 FOX DR",
"city": "CHAMPAIGN",
"state": "IL",
"postal_code": "618207236",
"telephone_number": "217-398-8080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TESMAN",
"first_name": "AMBER",
"middle_name": "NICOLE",
"name_prefix": "Ms.",
"credential": "RSA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-15",
"last_updated": "2008-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "103TR0400X",
"taxonomy_group": "",
"desc": "Psychologist, Rehabilitation",
"state": "IL",
"license": "T25501487607",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Champaign, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.