Individual provider Active NPI

Kamryn Donna Terveer, DC

  • Chiropractor
  • Nashville, IL
National Provider Identifier
1235779661
Registry record updated Jan 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038.013499 Issued in IL
Practice address
140 S Mill St
Nashville, IL 62263-1831
Phone
(618) 327-2000
NPI assigned
Jan 14, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038.013499 IL Primary

Addresses

Primary practice location

140 S Mill St
Nashville, IL 62263-1831

Mailing address

3525 S Water Tower PL Apt 242
Mount Vernon, IL 62864-6776
Phone (618) 830-6924

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

State licenses

LicenseStateTypeSpecialty
038.013499ILMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1578960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578960000000",
    "number": "1235779661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3525 S WATER TOWER PL APT 242",
            "city": "MOUNT VERNON",
            "state": "IL",
            "postal_code": "628646776",
            "telephone_number": "618-830-6924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 S MILL ST",
            "city": "NASHVILLE",
            "state": "IL",
            "postal_code": "622631831",
            "telephone_number": "618-327-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERVEER",
        "first_name": "KAMRYN",
        "middle_name": "DONNA",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-14",
        "last_updated": "2020-01-14",
        "certification_date": "2020-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.013499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2020; 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.