Active NPI
Tamberlene Hayes Terrill, RN, BSN, LMT, MMP
- Massage Therapist
- Mecosta, MI
National Provider Identifier
1275096075
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 7501010978
- Practice address
- 9930 11 Mile Rd
Mecosta, MI 49332-9743 - Phone
- (989) 857-9042
- NPI assigned
- Apr 9, 2019
- Last updated
- Apr 14, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 7501010978 | MI | Primary |
Addresses
Primary practice location
9930 11 Mile Rd
Mecosta, MI 49332-9743
Mailing address
10916 Stevens LN
Mecosta, MI 49332-9504
Phone (517) 819-5862
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
- Credentials
- Bachelor on Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7501010978 | MI | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555200000000",
"number": "1275096075",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10916 STEVENS LN",
"city": "MECOSTA",
"state": "MI",
"postal_code": "493329504",
"telephone_number": "517-819-5862"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9930 11 MILE RD",
"city": "MECOSTA",
"state": "MI",
"postal_code": "493329743",
"telephone_number": "989-857-9042"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TERRILL",
"first_name": "TAMBERLENE",
"middle_name": "HAYES",
"credential": "RN, BSN, LMT, MMP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-04-09",
"last_updated": "2019-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "MI",
"license": "7501010978",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mecosta, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.