Active NPI
Tera Marie Drew, RN
- Emergency Registered Nurse
- Fort Worth, TX
National Provider Identifier
1306603923
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Registered Nurse
- License
- 1083964
- Practice address
- 10864 Texas Health TRL
Fort Worth, TX 76244-4897 - Phone
- (682) 212-2000
- NPI assigned
- Feb 29, 2024
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Emergency Registered Nurse | 163WE0003X | 1083964 | TX | Primary |
Addresses
Primary practice location
10864 Texas Health TRL
Fort Worth, TX 76244-4897
Mailing address
14812 Hester TRL
Haslet, TX 76052-3620
Phone (509) 745-6066
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083964 | Other | TX | RN |
Other names 1
- Tera Marie Williams
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
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1083964 | TX | MD | Emergency Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1709164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709164800000",
"number": "1306603923",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14812 HESTER TRL",
"city": "HASLET",
"state": "TX",
"postal_code": "760523620",
"telephone_number": "509-745-6066"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10864 TEXAS HEALTH TRL",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "762444897",
"telephone_number": "682-212-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DREW",
"first_name": "TERA",
"middle_name": "MARIE",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-02-29",
"last_updated": "2024-02-29",
"certification_date": "2024-02-29",
"status": "A"
},
"taxonomies": [
{
"code": "163WE0003X",
"taxonomy_group": "",
"desc": "Registered Nurse, Emergency",
"state": "TX",
"license": "1083964",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RN",
"identifier": "1083964",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "TERA",
"last_name": "WILLIAMS",
"middle_name": "MARIE",
"credential": "RN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.