Individual provider Active NPI

Lynda F Terry, PA-C

  • Physician Assistant
  • Hinton, WV
National Provider Identifier
1235325341
Registry record updated Oct 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
01312 Issued in WV
Practice address
1500 Terrace Street
Hinton, WV 25951-0940
Phone
(304) 466-2944
Fax
(304) 466-2943
NPI assigned
Sep 21, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 01312 WV Primary

Addresses

Primary practice location

1500 Terrace Street
Hinton, WV 25951-0940

Mailing address

PO Box 940
Hinton, WV 25951-0940
Phone (304) 466-2944

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, VA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20071217000193 WV Practitioner - Physician Assistant 5193815033 Reassigns benefits to 2 organizations
I20150921003312 VA Practitioner - Physician Assistant 5193815033 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
01312WVMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Medexpress Urgent Care, PC - Virginia CurrentSince Jun 24, 2015 Accepting new patients
Appalachian Regional Healthcare, Inc Past Accepting new patients

Locations

1336 W Main St
Salem, VA 24153
Phone (540) 389-0374

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1190332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192579200000",
    "number": "1235325341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 940",
            "city": "HINTON",
            "state": "WV",
            "postal_code": "259510940",
            "telephone_number": "304-466-2944",
            "fax_number": "304-466-2943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 TERRACE STREET",
            "city": "HINTON",
            "state": "WV",
            "postal_code": "259510940",
            "telephone_number": "304-466-2944",
            "fax_number": "304-466-2943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERRY",
        "first_name": "LYNDA",
        "middle_name": "F",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-21",
        "last_updated": "2007-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WV",
            "license": "01312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hinton, WV

Sources for this page

Verify at the official NPI Registry.