Individual provider Active NPI

Terri L Harper, PAC

  • Medical Physician Assistant
  • Hilo, HI
National Provider Identifier
1316991730
Registry record updated Aug 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
AMD-231 Issued in HI
Practice address
80 Pauahi St
Suite #104
Hilo, HI 96720-3065
Phone
(808) 933-3400
Fax
(808) 933-3401
NPI assigned
May 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X AMD-231 HI Primary

Addresses

Primary practice location

80 Pauahi St
Suite #104
Hilo, HI 96720-3065

Mailing address

80 Pauahi St
Suite #104
Hilo, HI 96720-3065
Phone (808) 933-3400

Other identifiers 2

IdentifierTypeStateIssuer
24866-6OtherHIH.M.S.A.
55483301MedicaidHI

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
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1436COMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Hawaii Island Interventional Pain Medicine, PC Past Accepting new patients
Hawaii Island Interventional Pain Management, Inc 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282262400000",
    "number": "1316991730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 PAUAHI ST",
            "address_2": "SUITE #104",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967203065",
            "telephone_number": "808-933-3400",
            "fax_number": "808-933-3401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 PAUAHI ST",
            "address_2": "SUITE #104",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967203065",
            "telephone_number": "808-933-3400",
            "fax_number": "808-933-3401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARPER",
        "first_name": "TERRI",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-20",
        "last_updated": "2010-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "HI",
            "license": "AMD-231",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "H.M.S.A.",
            "identifier": "24866-6",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "55483301",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilo, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2010; 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.