Active NPI
Terry Wayne Hancock, MSN, RN,BC FNP
- Family Nurse Practitioner
- Socorro, NM
National Provider Identifier
1295734945
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 42137
- Practice address
- 200 Neel Ave
Socorro, NM 87801-4649 - Phone
- (575) 418-9563
- NPI assigned
- Jul 15, 2005
- Last updated
- Aug 9, 2013
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 42137 | NM | Primary |
Addresses
Primary practice location
200 Neel Ave
Socorro, NM 87801-4649
Mailing address
200 Neel Ave
Socorro, NM 87801-4649
Phone (575) 418-9563
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
- Credentials
- Master of Science - Nursing, Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 42137 | NM | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Mexico Heart Institute, LLC | Past | Accepting new patients | |
| Clinimed Corporation | Family | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Cardiovascular Disease Physician
- Albuquerque, NM
- NPI 1346242575
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1376006400000",
"number": "1295734945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 NEEL AVE",
"city": "SOCORRO",
"state": "NM",
"postal_code": "878014649",
"telephone_number": "575-418-9563"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 NEEL AVE",
"city": "SOCORRO",
"state": "NM",
"postal_code": "878014649",
"telephone_number": "575-418-9563"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANCOCK",
"first_name": "TERRY",
"middle_name": "WAYNE",
"name_prefix": "Mr.",
"credential": "MSN, RN,BC FNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-15",
"last_updated": "2013-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NM",
"license": "42137",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Socorro, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.