Organization Active NPI

Terra Firma Life Strategies PLLC

  • Social Worker
  • Bay City, MI
National Provider Identifier
1134697113
Registry record updated Aug 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Legal business name
TERRA FIRMA LIFE STRATEGIES PLLC
Practice address
1513 Columbus Ave
Bay City, MI 48708-6824
Phone
(989) 778-4993
NPI assigned
Nov 7, 2018
Last updated
Aug 28, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2024

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

Authorized official

Name
Rosanne WildNPI 1225129372
Title
Owner
Phone
(989) 992-8926

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X NU Primary

Addresses

Primary practice location

1513 Columbus Ave
Bay City, MI 48708-6824

Mailing address

1417 Fraser St
Bay City, MI 48708-7957

Other names 1

  • Terra Firma Life Strategies PLLC Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240318002870 MI Part B Supplier - Clinic/Group Practice 3072950732 Receives reassigned benefits from 1 practitioner
Practice locations: Bay City, MI

National Provider Directory

National Provider Directory

Locations

1513 Columbus Ave
Bay City, MI 48708
Phone (989) 778-4993

2101 Sardis Rd N
Ste 207
Charlotte, NC 28227

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1541548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724803200000",
    "number": "1134697113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1417 FRASER ST",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487087957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1513 COLUMBUS AVE",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487086824",
            "telephone_number": "989-778-4993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERRA FIRMA LIFE STRATEGIES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-07",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A",
        "authorized_official_last_name": "WILD",
        "authorized_official_first_name": "ROSANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "989-992-8926"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Terra Firma Life Strategies PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Bay City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.