Teresa Rudd Gaeta, MSN,CNP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

RN155522 NP01623 Issued in OH

Practice address

29400 Lakeland Blvd
Lubrizol Corporation Medical Depar
Wickliffe, OH 44092

Phone

(440) 347-2411

Fax

(440) 347-4704

NPI assigned

Nov 22, 2005

Last updated

Sep 26, 2007By the provider in NPPES

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

Credentials

Certified Nurse Practitioner, Master of Science - Nursing

State licenses

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

{
    "created_epoch": "1132617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190764800000",
    "number": "1881677045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38646 BELL RD",
            "city": "WILLOUGHBY",
            "state": "OH",
            "postal_code": "440947522",
            "telephone_number": "440-269-1527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29400 LAKELAND BLVD",
            "address_2": "LUBRIZOL CORPORATION MEDICAL DEPAR",
            "city": "WICKLIFFE",
            "state": "OH",
            "postal_code": "44092",
            "telephone_number": "440-347-2411",
            "fax_number": "440-347-4704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAETA",
        "first_name": "TERESA",
        "middle_name": "RUDD",
        "name_prefix": "Mrs.",
        "credential": "MSN,CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-22",
        "last_updated": "2007-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OH",
            "license": "RN155522 NP01623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Frederick J. Gehrke Jr., DDS
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• Stephanie Gersper, RN

• Adult Health Nurse Practitioner in Wickliffe, OH
• Providers in Wickliffe, OH by specialty
• Adult Health Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2007; 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.