Active NPI
Terry Patrice Stephens-Terrell
- Military Health Care Provider
- Baton Rouge, LA
National Provider Identifier
1134090319
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Military Health Care Provider
- License
- PA-NA
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 9
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 Provider | 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
| License | State | Type | Specialty |
|---|---|---|---|
| PA-NA | MO | MD | Military Health Care Provider |
| PA-NA | CA | MD | Independent Duty Corpsman |
| CN0014256052 | GA | MD | Contractor |
| 318362 | LA | MD | Home Health Agency |
| 320837880125 | OK | MD | Nursing 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.