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VALISA KARISHMA TEEKADHARRY
NPI 1467143206
Student in an Organized Health Care Education/Training Program in Shakopee, MN

Active since May 15, 2023PECOS EnrolledAccepts Medicare Assignment
646 ROUNDHOUSE ST, SHAKOPEE, MN 55379(952) 250-6251 Get Directions Write a Review

NPPES record last updated: May 15, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Valisa Karishma Teekadharry NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VALISA KARISHMA TEEKADHARRY (NPI 1467143206) is an individual student in an organized health care education/training program in Shakopee, Minnesota and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1467143206
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameVALISA KARISHMA TEEKADHARRY
Location Address646 ROUNDHOUSE STShakopee, MN 55379-1899
Mailing Address646 Roundhouse StShakopee, MN 55379-1899 · (952) 250-6251
Phone(952) 250-6251
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateMay 15, 2023
NPPES CertifiedMay 15, 2023
✔ NPI 1467143206 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
646 ROUNDHOUSE ST, Shakopee, MN 55379
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Valisa Karishma Teekadharry is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5991270456
PECOS Enrollment IDI20260413000933
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Valisa Teekadharry's NPI number?

The NPI number for Valisa Teekadharry is 1467143206. It was assigned to this individual provider in the NPPES registry on May 15, 2023.

Where is Valisa Teekadharry located?

Valisa Teekadharry practices at 646 Roundhouse St, Shakopee, MN 55379. The listed phone number is (952) 250-6251.

What is Valisa Teekadharry's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Valisa Teekadharry enrolled in Medicare?

Yes. Valisa Teekadharry is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Valisa Teekadharry was last updated on May 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.