Active NPI
Teresa Joanne Enright, FNP
- Family Nurse Practitioner
- Wilson, WY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- NP95015338
- Practice address
- 5235 HHR Ranch Rd
Wilson, WY 83014-9210 - Phone
- (307) 739-7696
- Fax
- (307) 739-0734
- NPI assigned
- Apr 27, 2011
- Last updated
- Dec 19, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 30108.1147 | WY | |
| Family Nurse Practitioner | 363LF0000X | NP95015338 | CA | Primary |
Addresses
Primary practice location
5235 HHR Ranch Rd
Wilson, WY 83014-9210
Mailing address
PO Box 14163
Jackson, WY 83002-4163
Phone (307) 739-7696
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 131038100 | Medicaid | WY |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 81.82 of 100
- Quality
- 67.1
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 73.98
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP95015338 | CA | MD | Family Nurse Practitioner |
| 30108.1147 | WY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Primary Medical Group of Ventura County Inc | Current | Accepting new patients | |
| Teton Valley Health Care Inc | Past | Accepting new patients | |
| Medical Imaging Associates of Idaho Falls, Inc | Past | Accepting new patients | |
| Westside Medical, LLC | Family | Past | Accepting new patients |
Locations
10885 Telegraph Rd
Ventura, CA 93004
Phone (805) 647-7704
2772 Johnson Dr
Ste 100
Ventura, CA 93003
Phone (805) 642-1430
2772 Johnson Dr
Ste 200
Ventura, CA 93003
Phone (805) 642-1430
3555 Loma Vista Rd
Ste 110
Ventura, CA 93003
Phone (805) 653-0303
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Ventura, CA
- NPI 1417970849
-
- Family Nurse Practitioner
- Wilson, WY
- NPI 1750536587
-
- Diagnostic Radiology Physician
- Pocatello, ID
- NPI 1740225531
-
dba Teton Valley Health Care
- Critical Access Hospital
- Driggs, ID
- NPI 1477809622
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702944000000",
"number": "1922399716",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 14163",
"city": "JACKSON",
"state": "WY",
"postal_code": "830024163",
"telephone_number": "307-739-7696",
"fax_number": "307-739-0734"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5235 HHR RANCH RD",
"city": "WILSON",
"state": "WY",
"postal_code": "830149210",
"telephone_number": "307-739-7696",
"fax_number": "307-739-0734"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENRIGHT",
"first_name": "TERESA",
"middle_name": "JOANNE",
"name_prefix": "Ms.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-04-27",
"last_updated": "2023-12-19",
"certification_date": "2023-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WY",
"license": "30108.1147",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "NP95015338",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "131038100",
"state": "WY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wilson, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2023; 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.