Individual Healthcare Provider
Teresa Siefke, MS, AGACNP-BC
Provider's NPPES record last updated: February 20, 2025
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1245699453
- Primary Specialty
- Nurse Practitioner — Gerontology
- Practice Location
- Englewood, Ohio
- Sole Proprietor
- Yes
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 21, 2026, 7:39 AM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Nurse Practitioner
Gerontology
Physician Assistants & Advanced Practice Nursing Providers
Definition to come...
Taxonomy code 363LG0600X Nurse Practitioner
Acute Care
Physician Assistants & Advanced Practice Nursing Providers
Definition to come...
Taxonomy code 363LA2100X
Provider-Reported License Information
- Nurse Practitioner (South Carolina)
- 27193
- Nurse Practitioner (Indiana)
- 71013185A
- Nurse Practitioner (Florida)
- APRN11019111
- Nurse Practitioner (Ohio)
- COA.17512-NP
- Nurse Practitioner (Pennsylvania)
- SP026035
Practice Locations
Practice Location
9000 N Main St
Englewood, Ohio 45415-1180
Phone: (937) 208-8394
Additional Practice Location
2222 Philadelphia Dr
Dayton, Ohio 45406-1813
Phone: (937) 734-3683
Additional Practice Location
3535 Pentagon Blvd
Beavercreek, Ohio 45431-1705
Phone: (937) 702-4450
Additional Practice Location
850 Tuck St
Lebanon, Pennsylvania 17042-7477
Phone: (717) 272-8173
Fax: (717) 272-4029
Additional Practice Location
3 Richland Medical Park Dr Ste 310
Columbia, South Carolina 29203-6862
Phone: (803) 434-8323
Fax: (803) 434-8326
Record Information
- Enumeration Date
- February 16, 2016
- Provider's NPPES Record Last Updated
- February 20, 2025
- Certification Date
- February 20, 2025
- NPISignal NPPES Dataset
- August 2026
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