Active NPI
Terri Ann Truesdale, DC
- Chiropractor
- Redmond, OR
National Provider Identifier
1013522358
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 6054
- Practice address
- 4455 SW Salmon PL
Redmond, OR 97756-1983 - Phone
- (360) 703-4504
- NPI assigned
- Sep 14, 2020
- Last updated
- Sep 14, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 6054 | OR | Primary |
Addresses
Primary practice location
4455 SW Salmon PL
Redmond, OR 97756-1983
Mailing address
4455 SW Salmon PL
Redmond, OR 97756-1983
Phone (360) 703-4504
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6054 | OR | MD | Massage Therapist |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600041600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600041600000",
"number": "1013522358",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4455 SW SALMON PL",
"city": "REDMOND",
"state": "OR",
"postal_code": "977561983",
"telephone_number": "360-703-4504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4455 SW SALMON PL",
"city": "REDMOND",
"state": "OR",
"postal_code": "977561983",
"telephone_number": "360-703-4504"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRUESDALE",
"first_name": "TERRI",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-09-14",
"last_updated": "2020-09-14",
"certification_date": "2020-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OR",
"license": "6054",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Redmond, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.