Active NPI
Lindsey Terpstra, MSW U/S
- Social Worker
- Moore, OK
National Provider Identifier
1205294618
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 5059
- Practice address
- 624 NW 5TH St
Moore, OK 73160-3924 - Phone
- (405) 799-3379
- Fax
- (405) 799-0912
- NPI assigned
- Feb 1, 2016
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 5059 | OK | Primary |
Addresses
Primary practice location
624 NW 5TH St
Moore, OK 73160-3924
Mailing address
624 NW 5TH St
Moore, OK 73160-3924
Phone (405) 799-3379
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100735950A | Medicaid | OK |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5059 | OK | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1454284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1454284800000",
"number": "1205294618",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "624 NW 5TH ST",
"city": "MOORE",
"state": "OK",
"postal_code": "731603924",
"telephone_number": "405-799-3379",
"fax_number": "405-799-0912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "624 NW 5TH ST",
"city": "MOORE",
"state": "OK",
"postal_code": "731603924",
"telephone_number": "405-799-3379",
"fax_number": "405-799-0912"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TERPSTRA",
"first_name": "LINDSEY",
"credential": "MSW U/S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-02-01",
"last_updated": "2016-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OK",
"license": "5059",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100735950A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Moore, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.