Individual provider Active NPI

Teresa Postma

  • Wound Care Registered Nurse
  • Demotte, IN
National Provider Identifier
1992160519
Registry record updated Dec 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Wound Care Registered NurseTaxonomy code 163WW0000X
License
28106933A Issued in IN
Practice address
622 Azalea St SE
Demotte, IN 46310-8744
Phone
(219) 916-3577
NPI assigned
Dec 26, 2015
Sex
Female
Sole proprietor
Yes

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
28106933AINMDWound Care Registered Nurse

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Wound Care Registered Nurse 163WW0000X 28106933A IN Primary

Addresses

NPPES NPI Registry

Primary practice location

622 Azalea St SE
Demotte, IN 46310-8744

Mailing address

622 Azalea St SE
Demotte, IN 46310-8744

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 26, 2015.

{
    "created_epoch": "1451088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451088000000",
    "number": "1992160519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "622 AZALEA ST SE",
            "city": "DEMOTTE",
            "state": "IN",
            "postal_code": "463108744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 AZALEA ST SE",
            "city": "DEMOTTE",
            "state": "IN",
            "postal_code": "463108744",
            "telephone_number": "219-916-3577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POSTMA",
        "first_name": "TERESA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-26",
        "last_updated": "2015-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WW0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Wound Care",
            "state": "IN",
            "license": "28106933A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Demotte, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2015; 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.