TERI LEE ROSSELLE FNP NPI 1548284391

NPI Information

NPI: 1548284391
Provider Name: TERI LEE ROSSELLE, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
2461 SW PERKINS AVE
PENDLETON, OR
ZIP 97801
Phone: (541) 276-0250
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Teri Lee Rosselle, FNP is a family nurse practitioner in Pendleton, OR. Teri Lee Rosselle, FNP NPI is 1548284391. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2461 SW PERKINS AVE
PENDLETON, OR
ZIP 97801-301
Phone: (541) 276-0250
Fax: (541) 276-0253

The NPI 1548284391 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/26/2006 and was last updated on 5/3/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363L00000X	Nurse Practitioner		AP30006540	WASHINGTON	No
2	363L00000X	Nurse Practitioner		RN00150128	WASHINGTON	No
3	363LP2300X	Nurse Practitioner	Primary Care	200350059NP	OREGON	No
4	363LF0000X	Nurse Practitioner	Family	200350059NP	OREGON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	AB39575	MEDICARE ID-TYPE UNSPECIFIED	WASHINGTON
2	9637703	MEDICAID	WASHINGTON
3	298484	MEDICAID	OREGON
4	P99077	MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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