Teresa Michelle Poole, ARNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

ARNP9162930 Issued in FL

Practice address

9040A Jackson Ave Madigan Army Medical Center JBLM
Tacoma, WA 98431-6307

Phone

(253) 968-3066

NPI assigned

May 22, 2009

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1242950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557014400000",
    "number": "1942435706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7904 SCHOOLHOUSE AVE NW",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983358359",
            "telephone_number": "813-629-2017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9040A JACKSON AVE MADIGAN ARMY MEDICAL CENTER JBLM",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984316307",
            "telephone_number": "253-968-3066"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3001 W Dr Martin Luther King Jr Blvd",
            "address_2": "1st Floor",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336076307",
            "country_code": "US",
            "telephone_number": "813-321-6820",
            "fax_number": "813-287-6306",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POOLE",
        "first_name": "TERESA",
        "middle_name": "MICHELLE",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-22",
        "last_updated": "2019-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "FL",
            "license": "ARNP9162930",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "013828700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marcus C Ponce de Leon, M.D.
• Mario Natale Ponticello, DPM
• Justin Pool, PSY.D.
• Lorraine Phillips Poole
• Susan Janette Poole, PH.D.
• Zion Heart Poole
• Jesse Ryan Pooler, M.P.T.
• Kampol Poophawatanakik, LAC
• Stephen E Poore, MD
• Ramona V Popa, MD

• Pediatric Nurse Practitioner in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Pediatric Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2019; 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.