TD Nurse Practitioner Services, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

TD NURSE PRACTITIONER SERVICES, LLC

Practice address

4972 County Road 38
Fort Calhoun, NE 68023-5054

Phone

(402) 641-8822

NPI assigned

Feb 15, 2023

Organization subpart

No

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

Authorized official

Name

Ms. Teresa Ann-Roth Dowling, ARNPNPI 1205169273

Title

Owner/Nurse Practitioner

Phone

(402) 641-8822

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Teresa Ann Dowling, FNP-BC, PMHNP

  • Family Nurse Practitioner
  • Fort Calhoun, NE
  • NPI 1205169273

  Single Specialty

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1676419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677110400000",
    "number": "1942907399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4972 COUNTY ROAD 38",
            "city": "FORT CALHOUN",
            "state": "NE",
            "postal_code": "680235054",
            "telephone_number": "402-641-8822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4972 COUNTY ROAD 38",
            "city": "FORT CALHOUN",
            "state": "NE",
            "postal_code": "680235054",
            "telephone_number": "402-641-8822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TD NURSE PRACTITIONER SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-15",
        "last_updated": "2023-02-23",
        "certification_date": "2023-02-23",
        "status": "A",
        "authorized_official_last_name": "DOWLING",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "ANN-ROTH",
        "authorized_official_title_or_position": "OWNER/NURSE PRACTITIONER",
        "authorized_official_telephone_number": "402-641-8822",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10027821400",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Preister
• Kathleen Elizabeth Preister
• Veleka Prunty, M.S., SLP
• Sedillo Mobile DDS NE LLC
• Teryn Sedillo, DDS
• Wilcox Properties of Fort Calhoun, LLC (Autumn Pointe)

• Clinic/Center in Fort Calhoun, NE
• Providers in Fort Calhoun, NE by specialty
• Clinic/Center in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.