TERESA BLAIR APN
NPI 1629051503
Nurse Practitioner - Family in Warren, IL

Q: What is Teresa Blair's NPI number?

The NPI number for Teresa Blair is 1629051503. It was assigned to this individual provider in the NPPES registry on November 23, 2005.

Q: What is Teresa Blair's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Teresa Blair was last updated on October 18, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since November 23, 2005

606 TISDELL AVE, WARREN, IL 61087(815) 745-2644(815) 745-2546 Get Directions Write a Review

NPPES record last updated: October 18, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Teresa Blair Apn NPPES

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

TERESA BLAIR APN (NPI 1629051503) is an individual family provider in Warren, Illinois, licensed in Illinois (209005291) and active in the NPI registry since November 2005.

NPPES Registry Identity

NPI1629051503

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameTERESA BLAIRCredential: APN

Location Address606 TISDELL AVEWarren, IL 61087

Mailing Address421 W Exchange St, Po Box 268Freeport, IL 61032-4008 · (815) 599-7958

Phone(815) 745-2644

Fax(815) 745-2546

Sole ProprietorNo

Enumeration DateNovember 23, 2005

Last NPPES UpdateOctober 18, 2017

✔ NPI 1629051503 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in IL · 209005291

606 TISDELL AVE, Warren, IL 61087

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Other Identifiers 3

Medicare PINK23949IL

Medicare UPINQ54842IL

Medicaid209005291IL

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FREEPORT REGIONAL HEALTH CARE FOUNDATION

Durable Medical Equipment & Medical Supplies

606 TISDELL AVE
WARREN, IL 61087

Jo Daviess County (815) 745-2644

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 Teresa Blair's NPI number?

The NPI number for Teresa Blair is 1629051503. It was assigned to this individual provider in the NPPES registry on November 23, 2005.

Where is Teresa Blair located?

Teresa Blair practices at 606 Tisdell Ave, Warren, IL 61087. The listed phone number is (815) 745-2644.

What is Teresa Blair's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Teresa Blair was last updated on October 18, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.