Terissa Patterson

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

0002056078 Issued in VA

Practice address

51 Golden Birch Dr
Fort Stewart, GA 31315-2714

Phone

(253) 219-8656

NPI assigned

Sep 9, 2014

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1410220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410220800000",
    "number": "1275934317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 GOLDEN BIRCH DR",
            "city": "FORT STEWART",
            "state": "GA",
            "postal_code": "313152714",
            "telephone_number": "253-219-8656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 GOLDEN BIRCH DR",
            "city": "FORT STEWART",
            "state": "GA",
            "postal_code": "313152714",
            "telephone_number": "253-219-8656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "TERISSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-09",
        "last_updated": "2014-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "VA",
            "license": "0002056078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Passamonti, M.D.
• Makelina Pastorella, PHYSICIAN ASSISTANT
• Patrick M Riner OD PC
• Phillip H. Patridge, DMD
• Armanni Patterson
• Mandy Pears, PHYSICIAN ASSISTANT
• Manuel NMN Pelaez, DMD, MS
• Isabel Pena
• Jacob Penatzer, PA-C
• Charles Hughes Penn Jr., MD

• Licensed Practical Nurse in Fort Stewart, GA
• Providers in Fort Stewart, GA by specialty
• Licensed Practical Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2014; 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.