Theresa M Becker-Fritz, MS, RN, CS
Individual provider Active NPI Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist · Delaware, OH
NPI 1821115858 · NPPES record last updated Feb 8, 2011
Key facts
- NPI
- 1821115858
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist 364SP0807X
- License
- COA03738-NS (OH)
- Practice address
- 6480 Crooked Elm CT
Delaware, OH 43015-8462 - Phone
- (740) 881-6049
- Fax
- (740) 881-6077
- NPI assigned
- Mar 23, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN.170378-COA1 | OH | MD | Registered Nurse |
| COA03738-NS | OH | MD | Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN.170378-COA1 | OH | |
| Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0807X | COA03738-NS | OH | Yes |
Addresses
Primary practice location
6480 Crooked Elm CT
Delaware, OH 43015-8462
Mailing address
7652 Sawmill Rd
PMB 160
Dublin, OH 43016-9296
Phone (740) 881-6049
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0114017-02 | Other | OH | CLINICAL SPECIALIST |
Other providers in Delaware, OH
- Eric Lowell Batterton
- Michael Anthony Bauml
- David Paul Baumlein
- BC Collective of Ga LLC
- Bryan Daniel Bearer
- Kelley Becker
- Logan C Beckett
- Bradford Beckman
- Shannon Nicole Beitel
- Richard P. Belch
All providers in Delaware, OH · Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 8, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.