Paige Tetreau

Primary specialty

Prevention ProfessionalTaxonomy code 405300000X

License

D5608291 Issued in CA

Practice address

2367 Morningside St
San Diego, CA 92139

Phone

(619) 292-5785

NPI assigned

Mar 31, 2017

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1490918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490918400000",
    "number": "1831621689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2367 MORNINGSIDE ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921393017",
            "telephone_number": "619-292-5785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2367 MORNINGSIDE ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92139",
            "telephone_number": "619-292-5785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TETREAU",
        "first_name": "PAIGE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-31",
        "last_updated": "2017-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "405300000X",
            "taxonomy_group": "",
            "desc": "Prevention Professional",
            "state": "CA",
            "license": "D5608291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Felicia Nicole Tessman
• Debbra Anne Tessmer-Wagner, M.A., L.M.F.T.
• Test San Diego
• Brent H Testerman
• Elise M. Tetelman, PA-C, MBA
• Russell Tett, PHARMD
• Kallie Tettenburn, M.S., CCC-SLP
• Jason Thomas William Tetzlaff, IDC
• Thomas Teubl, AUD
• Ronald J. Teufel II, MD

• Prevention Professional in San Diego, CA
• Providers in San Diego, CA by specialty
• Prevention Professional in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.