Terra King, CPNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

11247 Issued in TN

Practice address

758 S Willow Ave
Cookeville, TN 38501-3840

Phone

(931) 526-6173

Fax

(931) 526-5084

NPI assigned

Dec 6, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Pediatric Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Infinity Family Practice Associates, LLC

  • Family Medicine Physician
  • Cookeville, TN
  • NPI 1790098416
  NPD (past)
• Womens Health Services of the Cumberlands, PLLC

  • Obstetrics & Gynecology Physician
  • Cookeville, TN
  • NPI 1609965771
  NPD (past)

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

{
    "created_epoch": "1291593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1093018541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "758 S WILLOW AVE",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385013840",
            "telephone_number": "931-526-6173",
            "fax_number": "931-526-5084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "758 S WILLOW AVE",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385013840",
            "telephone_number": "931-526-6173",
            "fax_number": "931-526-5084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "TERRA",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-06",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TN",
            "license": "11247",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "11247",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daeci Elizabeth King, BEHAVIOR TECHNICIAN
• Haley D King, NP
• Matthew J King, M.D.
• Stephanie Paige King, COTA
• Teena M King, RN
• Kristi Leigh Kinnard, LPN
• Nathalie Kintz
• Amanda J Kirk, O.D.
• Christopher Phillip Klamm
• Robby R Klawitter, CRNP

• Pediatric Nurse Practitioner in Cookeville, TN
• Providers in Cookeville, TN by specialty
• Pediatric Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.