Terri Lynn Gazdig

Primary specialty

General Practice Registered NurseTaxonomy code 163WG0000X

License

34671 Issued in AK

Practice address

Usgg Juneau Medical Clinic, 709 W 9TH St
Juneau, AK 99801-1807

Phone

(907) 463-2104

Fax

(907) 463-2150

NPI assigned

Aug 22, 2017

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 names 1

• Terri Lynn Speight Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• US Coast Guard Finance Center

  • Military/U.S. Coast Guard Pharmacy
  • Juneau, AK
  • NPI 1871690628
  NPD (past)

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

{
    "created_epoch": "1503360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1285150177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "USGG JUNEAU MEDICAL CLINIC 709 W 9TH ST",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "99801",
            "telephone_number": "907-463-2104",
            "fax_number": "907-463-2150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "USGG JUNEAU MEDICAL CLINIC, 709 W 9TH ST",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "998011807",
            "telephone_number": "907-463-2104",
            "fax_number": "907-463-2150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAZDIG",
        "first_name": "TERRI",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-22",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "AK",
            "license": "34671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TERRI",
            "last_name": "SPEIGHT",
            "middle_name": "LYNN",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Gastineau Human Services
• Gastineau Human Services Corporation
• Gastineau Human Services Corporation
• Gastineau Human Services Corporation
• Gastineau Human Services Corporation
• Rachel Elizabeth Gearhart, LCSW, MSW
• Claire Geldhof
• Genoa Healthcare LLC
• Mary George
• Hannah Grace Gereb

• General Practice Registered Nurse in Juneau, AK
• Providers in Juneau, AK by specialty
• General Practice Registered Nurse in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.