Terry Lynn Moen

Primary specialty

Pharmacy TechnicianTaxonomy code 183700000X

License

701501 Issued in MN

Practice address

1010 4TH St
Two Harbors, MN 55616-1200

Phone

(218) 834-7202

NPI assigned

May 7, 2009

Last updated

Dec 10, 2009By 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 names 1

• Terry Lynn Carlson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1241654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260403200000",
    "number": "1154555969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 4TH ST",
            "city": "TWO HARBORS",
            "state": "MN",
            "postal_code": "556161200",
            "telephone_number": "218-834-7202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 4TH ST",
            "city": "TWO HARBORS",
            "state": "MN",
            "postal_code": "556161200",
            "telephone_number": "218-834-7202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOEN",
        "first_name": "TERRY",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-07",
        "last_updated": "2009-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "MN",
            "license": "701501",
            "primary": true
        },
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "MN",
            "license": "4901-0701-0036-329",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TERRY",
            "last_name": "CARLSON",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Roger E McDannold, PHARMACIST
• Shawn Patrick McMahon, M.D.
• Sarah Medina, COTA/L
• Jason Norman Menge, D.C.
• Michelle L Miller, CPHT
• Victoria Ruth Morrison, LPCC
• Cassandra Jo Morsette, NP
• Suzanne Elizabeth Myers
• Shirley Ann Nicholson
• Edwin Eugene Niemi, PSYCHOLOGIST

• Pharmacy Technician in Two Harbors, MN
• Providers in Two Harbors, MN by specialty
• Pharmacy Technician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2009; 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.