Active NPI
Dedra Delphine Terry, FPMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Mobile, AL
National Provider Identifier
1184089369
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 1-107226
- Practice address
- 1015 Montlimar Dr
Mobile, AL 36609 - Phone
- (251) 643-2872
- NPI assigned
- Dec 15, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 1-107226 | AL | Primary |
Addresses
Primary practice location
1015 Montlimar Dr
Mobile, AL 36609
Mailing address
9601 Cheyney CT
Mobile, AL 36695-7453
Phone (251) 643-2872
Other practice location 1
1115 Weber St
Franklin, LA 70538-4124
Phone (337) 828-2550 ext. 2144
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bend Health Psychiatric Services New England PA | Past | Accepting new patients | |
| Northeast Neuropsychology, LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Adolescent and Children Mental Health Clinic/Center
- Madison, WI
- NPI 1932864022
-
- Clinical Neuropsychologist
- Cheshire, CT
- NPI 1396991956
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1450137600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533859200000",
"number": "1184089369",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9601 CHEYNEY CT",
"city": "MOBILE",
"state": "AL",
"postal_code": "366957453",
"telephone_number": "251-643-2872"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1015 MONTLIMAR DR",
"city": "MOBILE",
"state": "AL",
"postal_code": "36609",
"telephone_number": "251-643-2872"
}
],
"practiceLocations": [
{
"address_1": "1115 Weber St",
"address_purpose": "LOCATION",
"city": "Franklin",
"state": "LA",
"postal_code": "705384124",
"country_code": "US",
"telephone_number": "337-828-2550 x2144",
"fax_number": "337-355-2335",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TERRY",
"first_name": "DEDRA",
"middle_name": "DELPHINE",
"name_prefix": "Miss",
"credential": "FPMHNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-12-15",
"last_updated": "2018-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "AL",
"license": "1-107226",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mobile, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.