Terra Renee Claybaugh, RN

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

RN312624 Issued in OH

Practice address

1911 Turnbull Rd
Beavercreek, OH 45432-2325

Phone

(937) 429-4805

NPI assigned

Sep 29, 2008

Last updated

Sep 29, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1222646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222646400000",
    "number": "1164672010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1911 TURNBULL RD",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454322325",
            "telephone_number": "937-429-4805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1911 TURNBULL RD",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454322325",
            "telephone_number": "937-429-4805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAYBAUGH",
        "first_name": "TERRA",
        "middle_name": "RENEE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-29",
        "last_updated": "2008-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "OH",
            "license": "RN312624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Registered Nurse in Beavercreek, OH
• Providers in Beavercreek, OH by specialty
• Home Health Registered Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2008; 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.