Individual provider Active NPI

Terri L Turner, DO

  • Internal Medicine Physician
  • Lakeport, CA
National Provider Identifier
1366522831
Registry record updated Nov 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
010A64791 Issued in CA
Practice address
925 Bevins Court
Lakeport, CA 95453-9754
Phone
(707) 263-8383
Fax
(707) 263-5019
NPI assigned
Oct 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X DO184966 OR
Internal Medicine Physician 207R00000X 010A64791 CA Primary

Addresses

Primary practice location

925 Bevins Court
Lakeport, CA 95453-9754

Mailing address

925 Bevins Court
Lakeport, CA 95453-9754
Phone (707) 263-8383

Other practice location 1

698 Petaluma Avenue
Sebastopol, CA 95472
Phone (707) 824-8742

Other practice location 2

14440 Olympic Drive
Clearlake, CA 95422-8809
Phone (707) 263-8383

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tturner966910@oc.providencedirect.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040507000904 CA Practitioner - Internal MedicinePractitioner - General Practice 9830188671 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hospitalist
Education
Pacific NW Un of HS, Col of Osteopathic Medicine, 1992
Medicare assignment
May accept Medicare assignment
Group practices
Lake County Tribal Health Consortium IncGroup PAC ID 8729975545, 42 clinicians

Practice addresses (Care Compare)

925 Bevins CT
Lakeport, CA 95453-9754
Phone 70726383821204

Hospital & facility affiliations

  • Sutter Lakeside Hospital Hospital, Lakeport, CA, CCN 051329
  • Adventist Health Clearlake Hospital, Clearlake, CA, CCN 051317
  • Adventist Health Ukiah Valley Hospital, Ukiah, CA, CCN 050301
  • Adventist Health Howard Memorial Hospital, Willits, CA, CCN 051310

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
010A64791CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mendocino Community Health Clinic, Inc. CurrentSince Jun 24, 2019 Accepting new patients
Lake County Tribal Health Consortium Inc. CurrentSince Dec 1, 2022 Accepting new patients
Mendocino Community Health Clinic, Inc. Current Accepting new patients
Lake County Tribal Health Southshore Clinic CurrentSince Dec 1, 2022 Accepting new patients
Aretaeus Telemedicine Inc. CurrentSince Nov 21, 2010 Accepting new patients
Redwood Valley Health Clinic, Inc. CurrentSince Nov 15, 2014 Accepting new patients
Prima Medical Foundation CurrentSince Mar 24, 2013 Accepting new patients
Quantum Healthcare Medical Associates Inc. Internal Medicine Past Accepting new patients
Marin Hospitalist Medical Group, Inc. Internal Medicine PastSince May 20, 2005 Accepting new patients
Willits Hospital Inc. Past Accepting new patients

Locations

14440 Olympic Dr
Clearlake, CA 95422
Phone (707) 263-8382

925 Bevins Ct
Lakeport, CA 95453
Phone (707) 263-8382

400 N McDowell Blvd
Petaluma, CA 94954
Phone (707) 778-1111

8501 West Rd
Redwood Vly, CA 95470
Phone (707) 485-6900

501 Petaluma Ave
Sebastopol, CA 95472
Phone (707) 823-8511

652 Petaluma Ave
Ste H
Sebastopol, CA 95472
Phone (707) 823-3166

347 Andrieux St
Sonoma, CA 95476
Phone (707) 935-5000

651 1st St W
Ste H
Sonoma, CA 95476
Phone (707) 938-3870

333 Laws Ave
Ukiah, CA 95482
Phone (707) 463-1113

1 Madrone St
Willits, CA 95490
Phone (707) 456-3041

45 Hazel St
Willits, CA 95490
Phone (707) 456-9600

Interoperability endpoints

  • Direct secure messaging: terri.turner.p1@direct.lcthc.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 10

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731024000000",
    "number": "1366522831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 BEVINS COURT",
            "city": "LAKEPORT",
            "state": "CA",
            "postal_code": "954539754",
            "telephone_number": "707-263-8383",
            "fax_number": "707-263-5019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 BEVINS COURT",
            "city": "LAKEPORT",
            "state": "CA",
            "postal_code": "954539754",
            "telephone_number": "707-263-8383",
            "fax_number": "707-263-5019"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "698 Petaluma Avenue",
            "address_purpose": "LOCATION",
            "city": "Sebastopol",
            "state": "CA",
            "postal_code": "95472",
            "country_code": "US",
            "telephone_number": "707-824-8742",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14440 Olympic Drive",
            "address_purpose": "LOCATION",
            "city": "Clearlake",
            "state": "CA",
            "postal_code": "954228809",
            "country_code": "US",
            "telephone_number": "707-263-8383",
            "fax_number": "707-263-5019",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TURNER",
        "first_name": "TERRI",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "OR",
            "license": "DO184966",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "010A64791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tturner966910@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "1111 Crater Lake Ave",
            "city": "Medford",
            "state": "OR",
            "country_code": "US",
            "postal_code": "975046241",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lakeport, CA

Sources for this page

Verify at the official NPI Registry.