Terry Jo Wolverton, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

R43584 Issued in AR

Practice address

27 Choctaw Trce
Cherokee Village, AR 72529-2702

Phone

(954) 873-4433

NPI assigned

May 6, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sun Kyss Glo

  • Naturopath
  • Cherokee Village, AR
  • NPI 1093310856
  NPD

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

{
    "created_epoch": "1620259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620259200000",
    "number": "1154905255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 CHOCTAW TRCE",
            "city": "CHEROKEE VILLAGE",
            "state": "AR",
            "postal_code": "725292702",
            "telephone_number": "954-873-4433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 CHOCTAW TRCE",
            "city": "CHEROKEE VILLAGE",
            "state": "AR",
            "postal_code": "725292702",
            "telephone_number": "954-873-4433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLVERTON",
        "first_name": "TERRY",
        "middle_name": "JO",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-06",
        "last_updated": "2021-05-06",
        "certification_date": "2021-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AR",
            "license": "R43584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• White River Health System, Inc.
• White River Health System, Inc.
• White River Health System, Inc.
• White River Health System,Inc.
• Kathleen Ann Williams, LCSW
• Brandon Dale Womack, APRN
• Laura Ann Wood, LPN
• Timothy Young, MD

• Registered Nurse in Cherokee Village, AR
• Providers in Cherokee Village, AR by specialty
• Registered Nurse in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2021; 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.