Edward Robert Teare, APRN-BC

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

95003095 Issued in CA

Practice address

1144 65TH St Ste F
Oakland, CA 94608-1053

Phone

(510) 929-1400

Fax

(510) 929-1414

NPI assigned

Feb 5, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

University of Cincinnati College of Medicine, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pine Park Health, IncGroup PAC ID 0345670527, 21 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Accentcare Home Health of California, Inc Home health agency, San Ramon, CA, CCN 057517
• Essentials Home Health Home health agency, Hayward, CA, CCN 059722
• Mary'S Help Home Health Services, Inc Home health agency, Vallejo, CA, CCN 059143
• Luxor Care Home Health Services Home health agency, Vallejo, CA, CCN 059681
• Athome Healthcare Team - East Bay, LLC Home health agency, Walnut Creek, CA, CCN 559246

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles (2 of 3)

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/21048/brand/1/csg/1/fhir/r4
• Direct secure messaging: edward.teare@299395540647940.direct.elationemr.com

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.

• Pine Park Health, Inc

  • Internal Medicine Physician
  • Berkeley, CA
  • NPI 1346879848

  CA, Nurse Practitioner

  Medicare reassignment Care Compare group NPD
• Lightbridge Hospice, LLC

  • Community Based Hospice Care Agency
  • San Diego, CA
  • NPI 1154320299
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Accentcare Home Health of California, Inc.

  • Home Health Agency
  • San Ramon, CA
  • NPI 1972559961
  Care Compare affiliation
• Athome Healthcare Team - East Bay, LLC

  • Home Health Agency
  • Walnut Creek, CA
  • NPI 1477038982
  Care Compare affiliation
• Health Essentials Resource & Services Inc

  • Home Health Agency
  • Hayward, CA
  • NPI 1639568074
  Care Compare affiliation
• Luxor Care Inc

  • Home Health Agency
  • Vallejo, CA
  • NPI 1003216896
  Care Compare affiliation
• Mary'S Help Home Health Services, Inc.

  • Home Health Agency
  • Vallejo, CA
  • NPI 1205929593
  Care Compare affiliation

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

{
    "created_epoch": "1360022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665705600000",
    "number": "1871832287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1144 65TH ST STE F",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946081053",
            "telephone_number": "510-929-1400",
            "fax_number": "510-929-1414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1144 65TH ST STE F",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946081053",
            "telephone_number": "510-929-1400",
            "fax_number": "510-929-1414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEARE",
        "first_name": "EDWARD",
        "middle_name": "ROBERT",
        "credential": "APRN-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-02-05",
        "last_updated": "2022-10-14",
        "certification_date": "2022-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "APN001488",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NV",
            "license": "A0213013",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CA",
            "license": "95003095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Silla Pape Taylor, L.AC.
• Tanisha R Taylor
• Taylor Taylor
• Warren Travis Taylor, PH.D.
• Mary Tealdi, CRNA
• Andrew Novel Tebow, DPM
• Philip A Tecau, MFT
• Emnet R Teclezghi
• Hannah Tedesco
• Carvel Tefft, M.D.

• All providers in Oakland, CA
• Adult Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.