Individual provider Active NPI

Terry Patrice Stephens-Terrell

  • Military Health Care Provider
  • Baton Rouge, LA
National Provider Identifier
1134090319
Registry record updated Sep 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Military Health Care ProviderTaxonomy code 171000000X
License
PA-NA Issued in MO
Practice address
3005 Dayton St & Remote Locations, Military Bases
Baton Rouge, LA 70805-4022
Phone
(225) 207-7473
NPI assigned
Sep 12, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2025

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

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Independent Duty Corpsman 1710I1002X PA-NA CA
Contractor 171W00000X CN0014256052 GA
Health & Wellness Coach 171400000X AL
Health Educator 174H00000X LA
Pharmacy Technician 183700000X LA
Home Health Agency 251E00000X 318362 LA
Nursing Care Agency 251J00000X 320837880125 OK
In Home Supportive Care Agency 253Z00000X OK
Military Health Care ProviderGroup: 193200000X MULTI-SPECIALTY GROUP 171000000X PA-NA MO Primary

Addresses

Primary practice location

3005 Dayton St & Remote Locations, Military Bases
Baton Rouge, LA 70805-4022

Mailing address

3005 Dayton St
Baton Rouge, LA 70805-4022
Phone (225) 207-7473

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

LicenseStateTypeSpecialty
PA-NAMOMDMilitary Health Care Provider
PA-NACAMDIndependent Duty Corpsman
CN0014256052GAMDContractor
318362LAMDHome Health Agency
320837880125OKMDNursing Care Agency

NPI Registry JSON

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

{
    "created_epoch": "1757635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757635200000",
    "number": "1134090319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3005 DAYTON ST",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708054022",
            "telephone_number": "225-207-7473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3005 DAYTON ST & REMOTE LOCATIONS, MILITARY BASES",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708054022",
            "telephone_number": "225-207-7473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHENS-TERRELL",
        "first_name": "TERRY",
        "middle_name": "PATRICE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-09-12",
        "last_updated": "2025-09-12",
        "certification_date": "2025-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1710I1002X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Corpsman",
            "state": "CA",
            "license": "PA-NA",
            "primary": false
        },
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "GA",
            "license": "CN0014256052",
            "primary": false
        },
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "AL",
            "license": null,
            "primary": false
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "LA",
            "license": null,
            "primary": false
        },
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "LA",
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "LA",
            "license": "318362",
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "OK",
            "license": "320837880125",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "OK",
            "license": null,
            "primary": false
        },
        {
            "code": "171000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Military Health Care Provider",
            "state": "MO",
            "license": "PA-NA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2025; 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.