TERESA SIEFKE (NPI# 1245699453) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245699453 |
| Entity Type | Individual |
| Full Name | TERESA SIEFKE |
| Credential | MS, AGACNP-BC |
| Practice Address |
9000 N Main St Englewood OH 45415-1180 |
| Mailing Address |
3170 Kettering Blvd Bldg B3 Moraine OH 45439-1924 |
| Practice Telephone | 9372088394 |
| Practice Fax Number | 9372088388 |
| Mailing Telephone | 9379913188 |
| Mailing Fax Number | 9372239811 |
| Enumeration Date | 2016-02-16 |
| Last Update Date | 2019-08-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
COA.17512-NP | OH | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2222 Philadelphia Dr, Dayton, OH 454061813 | 9377343683 |
| Street Address |
9000 N MAIN ST |
| City | ENGLEWOOD |
| State | OH |
| Zip Code | 45415-1180 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043824725 | Benjamin Deloss Mishler | Family Medicine | 9000 N Main St, Englewood, OH 45415-1180 | 2020-09-01 |
| 1992313431 | Chris Ticknor | Pharmacist | 9000 N Main St, Englewood, OH 45415-1180 | 2020-07-21 |
| 1134744378 | Stacey Michelle Callison | Nurse Practitioner | 9000 N Main St, Englewood, OH 45415-1180 | 2020-06-13 |
| 1417576299 | Susan Marie Knapke | Dietitian, Registered | 9000 N Main St, Englewood, OH 45415-1180 | 2020-04-13 |
| 1215556071 | Lindsay Nicole Schultz | Dietitian, Registered | 9000 N Main St, Englewood, OH 45415-1180 | 2020-04-13 |
| 1306352216 | Thomas J Kroner | Pharmacist | 9000 N Main St, Englewood, OH 45415-1180 | 2017-12-15 |
| 1730620709 | Gregory Sutton | Specialist/Technologist | 9000 N Main St, Englewood, OH 45415-1180 | 2017-03-10 |
| 1598201584 | Janette E Dale | Nurse Practitioner | 9000 N Main St, Englewood, OH 45415 | 2017-01-13 |
| 1124560016 | Amy Renee Letts | Nurse Practitioner | 9000 N Main St, Suite 305, Englewood, OH 45415-1180 | 2016-11-09 |
| 1679024475 | Anne Antalovich | Audiologist | 9000 N Main St, Suite 319, Englewood, OH 45415-1180 | 2016-10-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457881062 | Angelique Oluyitan | Registered Nurse | 50 Granite Dr, Dayton, OH 45415 | 2017-06-15 |
| 1255869244 | Sherry Marie Buchanan | Occupational Therapy Assistant | 140 Ewoodbury Dr, Dayton, OH 45415 | 2017-06-02 |
| 1417328972 | Thomas Riddell | Hearing Instrument Specialist | 5525 N. Main St, Dayton, OH 45415 | 2015-10-09 |
| 1932448537 | Mory Summer | General Practice | 141 Trailwoods Dr., Dayton, OH 45415 | 2013-02-04 |
| 1184909095 | Yolanda Jean Jenkins | Registered Nurse | 6339 Afton Drive, Dayton, OH 45415 | 2011-10-12 |
| 1023392560 | Megan E Betts | Specialist/Technologist, Other | 9000 N Main St. Ste 303, Dayton, OH 45415 | 2011-10-03 |
| 1356655195 | Gwendolyn L. Warren | Massage Therapist | 8393 N. Main St., Ste B, Dayton, OH 45415 | 2010-08-04 |
| 1811141559 | Dayton Physicians, LLC | Durable Medical Equipment & Medical Supplies | 9000 N Main St Suite 333, Dayton, OH 45415 | 2008-11-07 |
| 1730331224 | Joel Metze | Obstetrics & Gynecology | 9000 N Main St Ste 232, Englewood, OH 45415 | 2008-10-16 |
| 1023236247 | James Otis Hurst | Dentist | 9000 N. Main Street, Suite 207, Dayton, OH 45415 | 2007-04-23 |
| Find all providers in zip 45415 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598230328 | Elizabeth Jason Gillespie | Nurse Practitioner | 499 E Hampden Ave Ste 300, Englewood, CO 80113-2793 | 2018-10-08 |
| 1124325758 | Monica Annette Garbiso | Nurse Practitioner | 730 Hampden Ave, Suite 110, Englewood, CO 80110 | 2011-02-16 |
| 1992346159 | Cyndi Sison-vinculado | Nurse Practitioner | 350 Engle St, Englewood, NJ 07631-1808 | 2019-09-30 |
| 1225684129 | Kristen Demaria | Nurse Practitioner | 499 E Hampden Ave Ste 360, Englewood, CO 80113-3877 | 2019-08-15 |
| 1962904144 | Wendy Lynn Fields | Nurse Practitioner | 9000 N Main St Ste 101, Englewood, OH 45415-1184 | 2018-03-05 |
| 1427592955 | Kathryn Leonard Mccarthy | Nurse Practitioner | 501 E Hampden Ave, Englewood, CO 80113-2702 | 2016-12-19 |
| 1982078549 | Amy Marie Nieberlein | Nurse Practitioner | 501 E Hampden Ave, Attn: Stroke Center, Englewood, CO 80113-2702 | 2015-11-19 |
| 1962885814 | Donna Bair | Nurse Practitioner | 9000 N Main St, Suite 101, Englewood, OH 45415-1180 | 2015-07-09 |
| 1720485725 | Patricia Roeber Petrosky | Nurse Practitioner | 10700 E Geddes Ave, Suite 200, Englewood, CO 80112-3800 | 2014-11-19 |
| 1154745784 | Nicholas C Sullivan | Nurse Practitioner | 501 E Hampden Ave, Englewood, CO 80113-2702 | 2014-02-18 |
| Find all providers in ENGLEWOOD | ||||
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| 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.