Active NPI
Amy Terry, RN
- Ambulatory Women's Health Care Registered Nurse
- Cripple Creek, CO
National Provider Identifier
1043756133
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Women's Health Care Registered Nurse
- License
- 1637293
- Practice address
- 308 East Eaton Ave
Cripple Creek, CO 80813 - Phone
- (719) 687-6416
- Fax
- (719) 687-6501
- NPI assigned
- Jan 12, 2017
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Ambulatory Women's Health Care Registered Nurse | 163WW0101X | 1637293 | CO | Primary |
Addresses
Primary practice location
308 East Eaton Ave
Cripple Creek, CO 80813
Mailing address
PO Box 364
308 East Eaton Ave
Cripple Creek, CO 80813
Phone (719) 687-6416
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1637293 | CO | MD | Ambulatory Women's Health Care Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1484179200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484179200000",
"number": "1043756133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 364",
"address_2": "308 EAST EATON AVE",
"city": "CRIPPLE CREEK",
"state": "CO",
"postal_code": "80813",
"telephone_number": "719-687-6416",
"fax_number": "719-687-6501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "308 EAST EATON AVE",
"city": "CRIPPLE CREEK",
"state": "CO",
"postal_code": "80813",
"telephone_number": "719-687-6416",
"fax_number": "719-687-6501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TERRY",
"first_name": "AMY",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-01-12",
"last_updated": "2017-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "163WW0101X",
"taxonomy_group": "",
"desc": "Registered Nurse, Women's Health Care, Ambulatory",
"state": "CO",
"license": "1637293",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cripple Creek, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.