Question 1

What type of a medical provider is Theresa Tickle Owens?

Accepted Answer

Theresa Tickle Owens is a Nurse Practitioner (Family).

Question 2

Where does Theresa Tickle Owens practice medicine?

Accepted Answer

Theresa Tickle Owens has the following practice address:710 W RIDGE RD STE 220, WYTHEVILLE, VA 24382-1095

Question 3

Does this provider have a license number?

Accepted Answer

Theresa Tickle Owens has 3 license numbers, including: License Number 0001187004 issued in Virginia.

Question 4

Does Theresa Tickle Owens accept Medicare?

Accepted Answer

We do not know if this provider accepts the Medicare-approved amount.

Question 5

Does Theresa Tickle Owens have any board certifications?

Accepted Answer

The provider does not have any board certifications.

Question 6

Is Theresa Tickle Owens a member of any Medical Groups?

Accepted Answer

Theresa Tickle Owens is not affiliated with any medical groups.

Question 7

Does Theresa Tickle Owens participate in PECOS?

Accepted Answer

Yes, Theresa Tickle Owens participates in PECOS.

Question 8

What phone number can I call to contact Theresa Tickle Owens?

Accepted Answer

You can call the following number: (276)-223-3200

Question 9

Are there any exclusions against this provider?

Accepted Answer

We have not detected any Exclusions tied directly to Theresa Tickle Owens.

Question 10

Is Theresa Tickle Owens  affiliated with any hospitals?

Accepted Answer

The provider is not affiliated with any hospitals.

Question 11

When was this information last updated?

Accepted Answer

The CMS-based NPPES information was updated approximately 6 years ago (7/4/2019).

Taxonomy	State	Primary?
Nurse Practitioner (Family) - Taxonomy Code 363LF0000X	VA	Y
Registered Nurse - Taxonomy Code 163W00000X	VA	N
Nurse Practitioner - Taxonomy Code 363L00000X	VA	N

Participates in PECOS:	YES
PECOS Individual Enrollment ID:
PECOS Individual PAC ID:
Eligible to order/refer Part B Clinical Laboratory and Imaging	Yes
Eligible to order/refer Durable Medical Equipment (DME)	Yes
Eligible to order/refer Home Health Agency (HHA)	Yes
Eligible to order/refer Power Mobility Devices (PMD)	Yes

Theresa Tickle Owens

Overview