MRS. TERESA E RUSH FNP BC NPI 1821159575

NPI Information

NPI: 1821159575
Provider Name: MRS. TERESA E RUSH, FNP BC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
604 W NORTH AVE
ADA, OH
ZIP 45810
Phone: (419) 634-0431
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MRS. Teresa E Rush, FNP BC is a family nurse practitioner in Ada, OH. MRS. Teresa E Rush, FNP BC NPI is 1821159575. 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:

604 W NORTH AVE
ADA, OH
ZIP 45810
Phone: (419) 634-0431
Fax: (419) 634-0540

The NPI 1821159575 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 12/13/2006 and was last updated on 6/13/2018.

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		NP08376	OHIO	No
2	363LF0000X	Nurse Practitioner	Family	APRN.CNP.08376	OHIO	Yes
3	363LF0000X	Nurse Practitioner	Family	NP08376	OHIO	No

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	Other Provider Identifier Issuer
1	000000384645	OTHER	OHIO	ANTHEM
2	2623441	MEDICAID	OHIO
3	1821159575	OTHER	OHIO	ANTHEM
4	000000527472	OTHER	OHIO	ANTHEM BCBS
5	11501495	OTHER	OHIO	CAQH

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: 4/28/2024

NPI Synchronization or Removal

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