Terra Lee Wilson-Kaysser, CMA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

261469 Issued in CA

Practice address

517 Maureen LN
Pleasant Hill, CA 94523-2142

Phone

(925) 798-9696

NPI assigned

Oct 6, 2010

Last updated

Oct 6, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Medical Assistant

State licenses

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

{
    "created_epoch": "1286323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286323200000",
    "number": "1144539222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "517 MAUREEN LN",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945232142",
            "telephone_number": "925-798-9696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 MAUREEN LN",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945232142",
            "telephone_number": "925-798-9696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON-KAYSSER",
        "first_name": "TERRA",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "CMA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-06",
        "last_updated": "2010-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "261469",
            "primary": true
        },
        {
            "code": "247000000X",
            "taxonomy_group": "",
            "desc": "Technician, Health Information",
            "state": "CA",
            "license": "16927",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL COMMISSION FOR HEALTH EDUCATION CREDENTIALING, INC.",
            "identifier": "16927",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN ASSOCIATION OF MEDICAL ASSISTANTS",
            "identifier": "261469",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Physician Assistant in Pleasant Hill, CA
• Providers in Pleasant Hill, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2010; 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.