Teresa A Allensworth, CNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

209006688 Issued in IL

Practice address

1707 N 12TH St
Quincy, IL 62301-1355

Phone

(217) 222-8641

Fax

(217) 222-8578

NPI assigned

Dec 21, 2007

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

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner

State licenses

Interoperability endpoints

• Direct secure messaging: teresa.allensworth.1@29249.direct.athenahealth.com

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

• Illinois Veterans Home at Quincy

  • Physical Disabilities Residential Treatment Facility
  • Quincy, IL
  • NPI 1386708568
  Medicare reassignment

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

{
    "created_epoch": "1198195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407801600000",
    "number": "1992989214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1707 N 12TH ST",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623011355",
            "telephone_number": "217-222-8641",
            "fax_number": "217-222-8578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1707 N 12TH ST",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623011355",
            "telephone_number": "217-222-8641",
            "fax_number": "217-222-8578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLENSWORTH",
        "first_name": "TERESA",
        "middle_name": "A",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-21",
        "last_updated": "2014-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209006688",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CNP LICENSE NUMBER",
            "identifier": "209006688",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Allan Artificial Limbs
• David C Allen, DMD
• Rebecca L Allen, LCPC
• Suzanne Allen
• Tawny L. Allen, DO
• Donald David Altgilbers, CRNFA
• Jessica Elizabeth Althide, APRN, FNP-C
• Margaret Althide, LCSW
• Dana B Altman, DO
• Beth Ann Altmix, MHP, BS HUMAN SERVIC

• Nurse Practitioner in Quincy, IL
• Providers in Quincy, IL by specialty
• Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.