TEONETTE TELLIS (NPI# 1124489505) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124489505 |
| Entity Type | Individual |
| Full Name | TEONETTE TELLIS |
| Practice Address |
2912 9th Ave Council Bluffs IA 51501-5880 |
| Mailing Address |
3775 Curtis Ave Omaha NE 68111-1169 |
| Practice Telephone | 7123251331 |
| Enumeration Date | 2016-03-14 |
| Last Update Date | 2018-10-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
075512 | IA | Behavioral Health & Social Service Providers |
| Y | 1041S0200X |
Social Worker Specialization: School |
Behavioral Health & Social Service Providers |
| Street Address |
2912 9TH AVE |
| City | COUNCIL BLUFFS |
| State | IA |
| Zip Code | 51501-5880 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477612521 | Heartland Family Service | Clinic/Center | 2912 9th Ave, Council Bluffs, IA 51501-5880 | 2006-12-06 |
| 1699316745 | Meliss Luce | Counselor | 2912 9th Ave, Council Bluffs, IA 51501-5880 | 2019-09-30 |
| 1639649882 | Stacie Acox | Counselor | 2912 9th Ave, Council Bluffs, IA 51501-5880 | 2018-11-30 |
| 1679057657 | Mindy Sue Wright | Counselor | 2912 9th Ave, Council Bluffs, IA 51501-5880 | 2018-09-17 |
| 1487151254 | Bayli Ellis | Counselor | 2912 9th Ave, Council Bluffs, IA 51501-5880 | 2018-04-09 |
| 1588108310 | Erin Feind | Counselor | 2912 9th Ave, Council Bluffs, IA 51501-5880 | 2016-12-13 |
| 1962864173 | Ashley Schrad | Counselor | 2912 9th Ave, Council Bluffs, IA 51501-5880 | 2016-03-26 |
| 1407217888 | Bailey Janssen | Social Worker | 2912 9th Ave, Council Bluffs, IA 51501-5880 | 2016-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881204691 | Melissa Sue Sperry | Counselor | Melissa Sperry, 4036 Ramelle Dr, Council Bluffs, IA 51501 | 2020-08-06 |
| 1326689076 | Crc Recovery, Inc. | Clinic/Center | 1750 W Broadway, Council Bluffs, IA 51501 | 2019-10-03 |
| 1518451152 | Naomi Kigondu | Registered Nurse | 2323 W Broadway Ste 100, Council Bluffs, IA 51501 | 2018-06-18 |
| 1710400361 | Travis John Alger | Chiropractor | 3424 W Broadway, Council Bluffs, IA 51501 | 2017-07-25 |
| 1124495692 | Jillian Kahl | Speech-Language Pathologist | 1500 N 16th St, Council Bluffs, IA 51501 | 2015-08-31 |
| 1932584323 | Leigh Healey | Dietitian, Registered | 2323 West Broadway, Council Bluffs, IA 51501 | 2015-07-27 |
| 1942558523 | Karen Irene Godin | Registered Nurse | 1702 N 16th Street, Council Bluffs, IA 51501 | 2012-08-29 |
| 1063787505 | Rebecca F Aboe | Dietitian, Registered | 1702 North 16th St., Council Bluffs, IA 51501 | 2012-03-16 |
| 1972883122 | Sara Ann Lott | Occupational Therapist | 1310 N. 17th St., Council Bluffs, IA 51501 | 2011-08-19 |
| 1700042884 | Shopko Stores Operating Co LLC | Durable Medical Equipment & Medical Supplies | 3271 Marketplace Dr, Council Bluffs, IA 51501 | 2008-07-29 |
| Find all providers in zip 51501 | ||||
| Taxonomy Code | 1041S0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699209056 | Jacob Beardsley | Social Worker | 5506 N Pine St, Davenport, IA 52806-2631 | 2017-04-12 |
| 1922485283 | Jamie Lynn Heard | Social Worker | 50 N. Eisenhower Ave., Mason City, IA 50401 | 2015-05-06 |
| 1598996472 | Lauren Ashley Nystrom | Social Worker | 1055 39th St, Des Moines, IA 50311-3632 | 2009-07-27 |
| 1538627302 | Katherine Lux | Social Worker | 1011 Davis St, Dubuque, IA 52001-1397 | 2019-03-11 |
| 1851879860 | Kristin Cannon | Social Worker | 1030 5th Ave Se, Cedar Rapids, IA 52403-2464 | 2018-08-01 |
| 1841778933 | Lanna Carroll Goodman | Social Worker | 1030 5th Ave Se, Cedar Rapids, IA 52403 | 2018-08-01 |
| 1003394016 | Daryl Byrd | Social Worker | 1030 5th Ave Se, Cedar Rapids, IA 52403-2464 | 2018-08-01 |
| 1245718246 | Tonya Goodburn | Social Worker | 1030 5th Ave Se, Cedar Rapids, IA 52403-2464 | 2018-08-01 |
| 1386122380 | Katherine Parker | Social Worker | 1030 5th Ave Se, Cedar Rapids, IA 52403-2464 | 2018-08-01 |
| 1639657653 | Alexis Erger | Social Worker | 1030 5th Ave Se, Cedar Rapids, IA 52403 | 2018-08-01 |
| Find all providers with the same taxonomy | ||||
| City | COUNCIL BLUFFS |
| Zip Code | 51501 |
Please comment or provide details below to improve the information on TEONETTE TELLIS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.