Individual provider Active NPI

Susan Margaret Terrill, LPN, MDS

  • Licensed Practical Nurse
  • Lebanon, IN
National Provider Identifier
1366160541
Registry record updated Aug 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
043.108076 Issued in IN
Practice address
2494 N Lebanon St
Lebanon, IN 46052-1111
Phone
(765) 482-2076
Fax
(765) 482-2082
NPI assigned
Aug 15, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 043.108076 IN Primary

Addresses

Primary practice location

2494 N Lebanon St
Lebanon, IN 46052-1111

Mailing address

2494 N Lebanon St
Lebanon, IN 46052-1111
Phone (765) 482-2076

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sue.terrill@homewoodhc.com

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
043.108076INMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1660521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660521600000",
    "number": "1366160541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2494 N LEBANON ST",
            "city": "LEBANON",
            "state": "IN",
            "postal_code": "460521111",
            "telephone_number": "765-482-2076",
            "fax_number": "765-482-2082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2494 N LEBANON ST",
            "city": "LEBANON",
            "state": "IN",
            "postal_code": "460521111",
            "telephone_number": "765-482-2076",
            "fax_number": "765-482-2082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERRILL",
        "first_name": "SUSAN",
        "middle_name": "MARGARET",
        "credential": "LPN, MDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-15",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "IN",
            "license": "043.108076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sue.terrill@homewoodhc.com",
            "affiliation": "N",
            "address_1": "2494 N Lebanon St",
            "city": "Lebanon",
            "state": "IN",
            "country_code": "US",
            "postal_code": "460521111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lebanon, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2022; 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.