Active NPI
Terena Stidham
- Skilled Nursing Facility
- Vernon, AL
National Provider Identifier
1003204959
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- TERENA STIDHAM
- Practice address
- 1050 Convalescent Rd
Vernon, AL 35592-4823 - Phone
- (205) 570-8222
- NPI assigned
- Dec 30, 2014
- Last updated
- Jun 22, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Terena S Stidham, FNP-BC
- Title
- Nurse Practitioner
- Phone
- (205) 570-8222
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
1050 Convalescent Rd
Vernon, AL 35592-4823
Mailing address
2075 County Highway 122
Hamilton, AL 35570-8414
Phone (205) 570-8222
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1419897600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1434931200000",
"number": "1003204959",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2075 COUNTY HIGHWAY 122",
"city": "HAMILTON",
"state": "AL",
"postal_code": "355708414",
"telephone_number": "205-570-8222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1050 CONVALESCENT RD",
"city": "VERNON",
"state": "AL",
"postal_code": "355924823",
"telephone_number": "205-570-8222"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TERENA STIDHAM",
"organizational_subpart": "NO",
"enumeration_date": "2014-12-30",
"last_updated": "2015-06-22",
"status": "A",
"authorized_official_last_name": "STIDHAM",
"authorized_official_first_name": "TERENA",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "NURSE PRACTITIONER",
"authorized_official_telephone_number": "205-570-8222",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "FNP-BC"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vernon, AL
- State of Alabama Department of Public Health (Lamar County Home Care)
- State of Alabama Department of Public Health (Lamar County Home Care)
- State of Alabama Department of Public Health (Lamar County Home Care)
- State of Alabama Department of Public Health (Lamar County Health Dept Flu-Pneu)
- Ashley Lauren Elizabeth Sudduth
- Twin States Home Healthcare, Inc.
- Two Doc, PLLC (Environmental Solutions Clinic - Fort Payne)
- Vernon Medical Center
- Vernon Opco LLC (Convalescent Nursing and Rehab Center)
- Whatley Health Services, Inc (Vernon Health Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.