Teresa Ann Vieira

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SL016129 Issued in PA

Practice address

508 S Main St Apt 1
Old Forge, PA 18518-1626

Phone

(570) 575-9650

NPI assigned

Aug 6, 2022

Sex

Female

Sole proprietor

No

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": "1659744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659744000000",
    "number": "1871220046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 S MAIN ST APT 1",
            "city": "OLD FORGE",
            "state": "PA",
            "postal_code": "185181626",
            "telephone_number": "570-575-9650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 S MAIN ST APT 1",
            "city": "OLD FORGE",
            "state": "PA",
            "postal_code": "185181626",
            "telephone_number": "570-575-9650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIEIRA",
        "first_name": "TERESA",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-06",
        "last_updated": "2022-08-06",
        "certification_date": "2022-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL016129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Allen Stang Jr., A.T.C.
• Susquehanna Valley Mobility Services, Inc.
• Sloan A Svadeba-Cummings, M.S., LPC, NCC
• Bridget Elizabeth Thomas, PHARM D
• Gabrielle Verespey
• Lori Marie Walton, DPT, PHD, MSCPT
• Julie Washko, CRNP
• Jackalynn Lee Wilson
• Lynn Ann Winter, P.T.
• Lauren E Yanniello, M.S., CCC-SLP

• Speech-Language Pathologist in Old Forge, PA
• Providers in Old Forge, PA by specialty
• Speech-Language Pathologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2022; 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.