Terri L Joliet, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

1044227 Issued in IN

Practice address

1701 Spring St
Suite a
Jeffersonville, IN 47130-2930

Phone

(812) 282-1367

Fax

(812) 284-8377

NPI assigned

Aug 30, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tjoliet@sip.gwaydirect.com

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.

• Mountain Park Health Center

  • Federally Qualified Health Center (FQHC)
  • Phoenix, AZ
  • NPI 1558308825
  Medicare reassignment NPD
• Mountain Park Health Center

  • Federally Qualified Health Center (FQHC)
  • Phoenix, AZ
  • NPI 1386452415
  NPD
• Mountain Park Health Center

  • Federally Qualified Health Center (FQHC)
  • Phoenix, AZ
  • NPI 1811490881
  NPD
• Southern Indiana Pediatrics P.S.C.

  • Pediatrics Physician
  • Jeffersonville, IN
  • NPI 1811043854
  NPD (past)
• Mountain Park Health Center - Dental

  • Federally Qualified Health Center (FQHC)
  • Phoenix, AZ
  • NPI 1710146188
  NPD (past)

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1225148406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 SPRING ST",
            "address_2": "SUITE A",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471302930",
            "telephone_number": "812-282-1367",
            "fax_number": "812-284-8377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 SPRING ST",
            "address_2": "SUITE A",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471302930",
            "telephone_number": "812-282-1367",
            "fax_number": "812-284-8377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOLIET",
        "first_name": "TERRI",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IN",
            "license": "1044227",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200043000",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebekah Johnson, LCSW
• Sally Brewer Johnson
• Samuel Meredith Johnson Jr., DMD
• Steven M. Johnson, D.O.
• Brian L Jointer, HRP
• Ashley Jones, BA, RBT
• Ayse Lena Jones
• Bruce Emerson Jones, D.D.S.
• Handel Arthur Jones, M.D.
• Lauren Marida Jones, BA

• Pediatrics Physician in Jeffersonville, IN
• Providers in Jeffersonville, IN by specialty
• Pediatrics Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.