Individual provider Active NPI

Terri D Congleton, ARNP

  • Family Nurse Practitioner
  • Owensboro, KY
National Provider Identifier
1124129465
Registry record updated Sep 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4975P Issued in KY
Practice address
2811 New Hartford Road
Suite B
Owensboro, KY 42303-1320
Phone
(270) 215-0234
Fax
(270) 215-0316
NPI assigned
Sep 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 71002271A IN
Family Nurse Practitioner 363LF0000X 4975P KY Primary

Addresses

Primary practice location

2811 New Hartford Road
Suite B
Owensboro, KY 42303-1320

Mailing address

2811 New Hartford Rd Ste B
Owensboro, KY 42303-1384
Phone (270) 215-0234

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070627000075 KY Practitioner - Nurse Practitioner 7911006812 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Owensboro Health, IncGroup PAC ID 0547154650, shared by 9 NPIs, 179 clinicians
Carrico Congleton Family Practice LLCGroup PAC ID 4880866631, 3 clinicians

Practice addresses (Care Compare)

1006 Ford Ave
Owensboro, KY 42301-4677
Phone (270) 688-4845

2811 New Hartford Rd
Suite B
Owensboro, KY 42303-1384
Phone (270) 215-0234

Hospital & facility affiliations

  • Family Home Health Care, LLC Dba Adoration Home Health Home health agency, Owensboro, KY, CCN 187168
  • Owensboro Health Regional Hospital Hospital, Owensboro, KY, CCN 180038

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
71002271AINMDNurse Practitioner
4975PKYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carrico Congleton Family Practice, LLC Nurse Practitioner CurrentSince Apr 1, 2012 Accepting new patients
PSF PLLC Nurse Practitioner PastSince Jul 15, 2001 Accepting new patients

Locations

2811 New Hartford Rd
Ste B
Owensboro, KY 42303
Phone (270) 215-0234

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HGADCA/Endpoint/HGADCA
  • FHIR API: https://fhir4.healow.com/fhir/r4/HGADCA

Organizations & group practices 2

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536796800000",
    "number": "1124129465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2811 NEW HARTFORD RD STE B",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423031384",
            "telephone_number": "270-215-0234",
            "fax_number": "270-215-0316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2811 NEW HARTFORD ROAD",
            "address_2": "SUITE B",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423031320",
            "telephone_number": "270-215-0234",
            "fax_number": "270-215-0316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONGLETON",
        "first_name": "TERRI",
        "middle_name": "D",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2018-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71002271A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "4975P",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owensboro, KY

Sources for this page

Verify at the official NPI Registry.