Healthcare Provider Details

I. General information

NPI: 1780828061
Provider Name (Legal Business Name): TERESA D COMBS PHD, APRN, BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/30/2009
Last Update Date: 09/03/2024
Certification Date: 09/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8777 1ST AVE # A
SILVER SPRING MD
20910
US

IV. Provider business mailing address

8777 1ST AVE # A
SILVER SPRING MD
20910-3511
US

V. Phone/Fax

Practice location:
  • Phone: 301-920-0316
  • Fax: 301-565-9621
Mailing address:
  • Phone: 301-920-0316
  • Fax: 301-565-9621

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberRN61601
License Number StateDC
# 3
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberR121391
License Number StateMD

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier099052800
Identifier TypeMEDICAID
Identifier StateDC
Identifier Issuer

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: