Individual provider Active NPI

Terrence L Herman Jr.

  • Personal Care Attendant
  • Fort Totten, ND
National Provider Identifier
1356937387
Registry record updated Jan 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
License
1464265 Issued in ND
Practice address
3889 74TH Ave NE
Apt 103
Fort Totten, ND 58335
Phone
(701) 230-3013
NPI assigned
Dec 14, 2020
Last updated
Jan 12, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care Attendant 3747P1801X NU
Personal Care Attendant 3747P1801X 1464265 ND Primary
Homemaker 376J00000X NU

Addresses

Primary practice location

3889 74TH Ave NE
Apt 103
Fort Totten, ND 58335

Mailing address

PO Box 41
Fort Totten, ND 58335-0041
Phone (701) 230-3014

Other practice location 1

3951 72nd ave NE
Fort Totten, ND 58335
Phone (701) 230-3014

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

State licenses

LicenseStateTypeSpecialty
1464265NDMDPersonal Care Attendant

NPI Registry JSON

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

{
    "created_epoch": "1607904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610409600000",
    "number": "1356937387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 41",
            "city": "FORT TOTTEN",
            "state": "ND",
            "postal_code": "583350041",
            "telephone_number": "701-230-3014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3889 74TH AVE NE",
            "address_2": "APT 103",
            "city": "FORT TOTTEN",
            "state": "ND",
            "postal_code": "58335",
            "telephone_number": "701-230-3013"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3951 72nd ave NE",
            "address_purpose": "LOCATION",
            "city": "Fort Totten",
            "state": "ND",
            "postal_code": "58335",
            "country_code": "US",
            "telephone_number": "701-230-3014",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERMAN",
        "first_name": "TERRENCE",
        "middle_name": "L",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-14",
        "last_updated": "2021-01-12",
        "certification_date": "2020-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "ND",
            "license": "1464265",
            "primary": true
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Totten, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 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.