Active NPI
Terease E Kwiatkowski, M.D.
- Obstetrics & Gynecology Physician
- Merritt Island, FL
National Provider Identifier
1881659282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- ME76969
- Practice address
- 255 Fortenberry Rd
A-1
Merritt Island, FL 32952-3601 - Phone
- (321) 459-1192
- Fax
- (321) 459-2304
- NPI assigned
- Apr 19, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | ME76969 | FL | Primary |
Addresses
Primary practice location
255 Fortenberry Rd
A-1
Merritt Island, FL 32952-3601
Mailing address
150 N Sykes Creek Pkwy
#300
Merritt Island, FL 32953-3488
Phone (321) 449-4168
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 255238801 | Medicaid | FL |
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)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Partners in Womens Health LLC | Obstetrics & Gynecology | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Partners In Women's Health
- Obstetrics & Gynecology Physician
- Merritt Island, FL
- NPI 1285695312
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1231891200000",
"number": "1881659282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 N SYKES CREEK PKWY",
"address_2": "#300",
"city": "MERRITT ISLAND",
"state": "FL",
"postal_code": "329533488",
"telephone_number": "321-449-4168",
"fax_number": "321-449-4164"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "255 FORTENBERRY RD",
"address_2": "A-1",
"city": "MERRITT ISLAND",
"state": "FL",
"postal_code": "329523601",
"telephone_number": "321-459-1192",
"fax_number": "321-459-2304"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KWIATKOWSKI",
"first_name": "TEREASE",
"middle_name": "E",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-19",
"last_updated": "2009-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "FL",
"license": "ME76969",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "255238801",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Merritt Island, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.