Active NPI
Theresa A Ledesma, ARNP
- Emergency Clinical Nurse Specialist
- Oelwein, IA
National Provider Identifier
1821196700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Clinical Nurse Specialist
- License
- A080263
- Practice address
- 201 8TH Ave SE
Oelwein, IA 50662-2447 - Phone
- (319) 283-6000
- NPI assigned
- Sep 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | A080263 | IA | |
| Nurse Practitioner | 363L00000X | A080263 | IA | |
| Family Nurse Practitioner | 363LF0000X | A080263 | IA | |
| Emergency Clinical Nurse Specialist | 364SE0003X | A080263 | IA | Primary |
| Community Health Nurse Practitioner | 363LC1500X | A080263 | IA |
Addresses
Primary practice location
201 8TH Ave SE
Oelwein, IA 50662-2447
Mailing address
3421 W 9TH St
Waterloo, IA 50702-5401
Phone (319) 272-7303
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0074625 | Medicaid | IA |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A080263 | IA | MD | Emergency Clinical Nurse Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Iowa Mental Health Center | Past | Accepting new patients | |
| United Community Services, Inc. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Northeast Iowa Behavioral Health, Inc.
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Decorah, IA
- NPI 1710933445
-
- Point of Service
- West Des Moines, IA
- NPI 1609998137
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1270425600000",
"number": "1821196700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3421 W 9TH ST",
"city": "WATERLOO",
"state": "IA",
"postal_code": "507025401",
"telephone_number": "319-272-7303",
"fax_number": "319-272-7318"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 8TH AVE SE",
"city": "OELWEIN",
"state": "IA",
"postal_code": "506622447",
"telephone_number": "319-283-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEDESMA",
"first_name": "THERESA",
"middle_name": "A",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-21",
"last_updated": "2010-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IA",
"license": "A080263",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IA",
"license": "A080263",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IA",
"license": "A080263",
"primary": false
},
{
"code": "364SE0003X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Emergency",
"state": "IA",
"license": "A080263",
"primary": true
},
{
"code": "363LC1500X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Community Health",
"state": "IA",
"license": "A080263",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0074625",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oelwein, IA
- Trisha Ann Kress, ARNP
- Adam Bradley Kruger, DDS
- Alan Wayne Kruger, DDS
- Jordan Catherine Langreck, PHARMD
- Jamie Marie Lanus, MSW, LISW
- Roxanne Lenz, ARNP
- Anthony John Leo, MD
- Mercy Hospital of Franciscan Sisters (Mercy Hospital Anesthesia)
- Mercy Hospital of Franciscan Sisters Inc (MercyOne Oelwein Senior Care)
- Mercy Hospital of Franciscan Sisters Inc (MercyOne Oelwein Medical Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.