Teri Herrell

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

2009027357 Issued in MO

Practice address

5031 Potomac St
Saint Louis, MO 63139-1316

Phone

(314) 353-8875

NPI assigned

Oct 5, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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": "1633392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633478400000",
    "number": "1306518527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 S FERKEL ST",
            "city": "COLUMBIA",
            "state": "IL",
            "postal_code": "622362122",
            "telephone_number": "314-265-6387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5031 POTOMAC ST",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631391316",
            "telephone_number": "314-353-8875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRELL",
        "first_name": "TERI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-05",
        "last_updated": "2021-10-06",
        "certification_date": "2021-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MO",
            "license": "2009027357",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INSURANCE",
            "identifier": "HLINK",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Coolschoolnurse2021@gmail.com",
            "affiliation": "N",
            "address_1": "5031 Potomac St",
            "city": "Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631391316",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• David Andrew Heron, MD
• Viviene Heron, LPC
• Michael Herpin, AA
• Maureen Elizabeth Herr, MSW, LCSW
• Michael J Herr, O.D.
• Erin Leigh Herrera, CRNA
• Felix Emmanuel Herrera, MD
• Iris Stephanie Herrera
• Sara Herrera
• Jason M. Herrick, DDS

• Registered Nurse in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Registered Nurse in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2021; 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.