NPIMap

Individual provider Active NPI

Teresiah Kanyingi, AGNP

  • Adult Health Nurse Practitioner
  • Camden, DE
National Provider Identifier
1902372105
Registry record updated Oct 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
LP-0000275 Issued in DE
Practice address
379 Walmart Dr
Camden, DE 19934-1365
Phone
(302) 698-4441
NPI assigned
Oct 16, 2018
Last updated
Oct 16, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X LP-0000275 DE Primary

Addresses

Primary practice location

379 Walmart Dr
Camden, DE 19934-1365

Mailing address

548 Ginn St
Townsend, DE 19734-3033
Phone (302) 220-7063

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE, TX2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190103001599 DE Practitioner - Nurse Practitioner 8123364619 Reassigns benefits to 2 organizations
I20220422000644 TX Practitioner - Nurse Practitioner 8123364619 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Healthtexas Provider NetworkGroup PAC ID 1355254210, 2,535 clinicians

Practice addresses (Care Compare)

4001 Worth St
Dallas, TX 75246-1608

4708 Alliance Blvd
Suite 550
Plano, TX 75093-5363
Phone (469) 800-6140

6601 Preston Rd
Plano, TX 75024-2502
Phone (469) 326-3400

821 N Coleman St
Suite 100
Prosper, TX 75078-2339
Phone (469) 800-5200

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healthtexas Provider Network CurrentSince Mar 14, 2022 Accepting new patients
Healthtexas Provider Network CurrentSince Mar 14, 2022 Accepting new patients
Geriatric Medicine Consultants PA CurrentSince Jan 28, 2019 Accepting new patients
Healthtexas Provider Network Current Accepting new patients
Alignmed Partners, PC CurrentSince Jan 7, 2019 Accepting new patients
Genesis Elder Care Physician Services LLC Past Accepting new patients

Locations

1080 Silver Lake Blvd
Dover, DE 19904
Phone (302) 734-5990

100 Saint Clare Dr
Hockessin, DE 19707
Phone (302) 234-5420

715 E King St
Seaford, DE 19973
Phone (302) 536-5628

1601 Milltown Rd
Ste 2
Wilmington, DE 19808
Phone (302) 463-6542

810 S Broom St
Wilmington, DE 19805
Phone (302) 234-5420

301 N Washington Ave
Dallas, TX 75246
Phone (469) 800-8330

4001 Worth St
Dallas, TX 75246
Phone (214) 828-1745

4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665

821 N Coleman St
Ste 100
Prosper, TX 75078
Phone (469) 800-5200

Interoperability endpoints

  • Direct secure messaging: tkanyingi942768@direct.sw.org

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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

NPI Registry JSON

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

{
    "created_epoch": "1539648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539648000000",
    "number": "1902372105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "548 GINN ST",
            "city": "TOWNSEND",
            "state": "DE",
            "postal_code": "197343033",
            "telephone_number": "302-220-7063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "379 WALMART DR",
            "city": "CAMDEN",
            "state": "DE",
            "postal_code": "199341365",
            "telephone_number": "302-698-4441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANYINGI",
        "first_name": "TERESIAH",
        "credential": "AGNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-16",
        "last_updated": "2018-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "DE",
            "license": "LP-0000275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camden, DE

Sources for this page

Verify at the official NPI Registry.