Individual provider Active NPI

Teresa Ann Fox, MSN, FNP, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Roseville, CA
National Provider Identifier
1891890950
Registry record updated Jun 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
8597 Issued in CA
Practice address
1731 E Roseville Pkwy Ste 290
Roseville, CA 95661-6453
Phone
(916) 262-9002
Fax
(916) 262-9012
NPI assigned
Sep 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 309237 CA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 8597 CA Primary

Addresses

Primary practice location

1731 E Roseville Pkwy Ste 290
Roseville, CA 95661-6453

Mailing address

1731 E Roseville Pkwy Ste 290
Roseville, CA 95661-6453
Phone (448) 867-8444

Other practice location 1

1625 Stockton Blvd Ste 106
Sacramento, CA 95816-7098
Phone (916) 262-9107

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)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
8597CAMDAcupuncturist
309237CAMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624752000000",
    "number": "1891890950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1731 E ROSEVILLE PKWY STE 290",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956616453",
            "telephone_number": "448-867-8444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1731 E ROSEVILLE PKWY STE 290",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956616453",
            "telephone_number": "916-262-9002",
            "fax_number": "916-262-9012"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1625 Stockton Blvd Ste 106",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958167098",
            "country_code": "US",
            "telephone_number": "916-262-9107",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOX",
        "first_name": "TERESA",
        "middle_name": "ANN",
        "credential": "MSN, FNP, PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-13",
        "last_updated": "2021-06-27",
        "certification_date": "2021-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "309237",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "8597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.