Terrye Annette Anderson, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

19849 Issued in CA

Practice address

1180 N Glenwood Ave
Rialto
Rialto, CA 92376-3989

Phone

(909) 874-6899

NPI assigned

Mar 18, 2011

Last updated

Mar 18, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1300406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300406400000",
    "number": "1093014839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1180 N GLENWOOD AVE",
            "address_2": "RIALTO",
            "city": "RIALTO",
            "state": "CA",
            "postal_code": "923763989",
            "telephone_number": "909-874-6899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 N GLENWOOD AVE",
            "address_2": "RIALTO",
            "city": "RIALTO",
            "state": "CA",
            "postal_code": "923763989",
            "telephone_number": "909-874-6899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "TERRYE",
        "middle_name": "ANNETTE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-18",
        "last_updated": "2011-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "19849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ana M Gama DDS, Inc
• Anas Kawayeh MD Inc
• Marlene Janice Anceno, LCSW
• Melinda Ruby Ancrum, LCSW
• Michael Anderson
• Holly Cheree Andrade
• Karen Andrade
• Yaritza Noemi Anguiano
• William K Anin
• Anthonia Anyakora-Okafor

• Family Nurse Practitioner in Rialto, CA
• Providers in Rialto, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.