Teresa De Jesus Damera

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN11004588 Issued in FL

Practice address

2665 Cleveland Ave Ste 208
Fort Myers, FL 33901-5850

Phone

(239) 839-1950

Fax

(239) 236-1665

NPI assigned

Jan 24, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• C I T Rehab & Welness Center LLC

  • Community/Behavioral Health Agency
  • Fort Myers, FL
  • NPI 1376382077
  NPD Authorized official

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

{
    "created_epoch": "1516752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630281600000",
    "number": "1831697853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2665 CLEVELAND AVE STE 208",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339015850",
            "telephone_number": "239-839-1950",
            "fax_number": "239-236-1665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2665 CLEVELAND AVE STE 208",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339015850",
            "telephone_number": "239-839-1950",
            "fax_number": "239-236-1665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAMERA",
        "first_name": "TERESA",
        "middle_name": "DE JESUS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-24",
        "last_updated": "2021-08-30",
        "certification_date": "2021-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "APRN11004588",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11004588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Anne Dalrymple, D.O.
• Steve Dalton, CRNA
• Vicky Daly
• Hagerson James Damas, DC
• Lauren Dame, PT, DPT
• Juan A Damiani, MD
• Alexandria Nicole Damm, M.S., SLP-CF
• Kersten Anna Damosh
• Alexander Thomas Damron, MD
• Nikolene Damron

• Family Nurse Practitioner in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2021; 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.