Terri L Groves, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

0628 Issued in SD

Practice address

506 1St Ave SE
Watertown, SD 57201-4499

Phone

(605) 886-8482

Fax

(605) 884-4332

NPI assigned

Sep 2, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542067200000",
    "number": "1376645168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 1ST AVE SE",
            "city": "WATERTOWN",
            "state": "SD",
            "postal_code": "572014499",
            "telephone_number": "605-886-8482",
            "fax_number": "605-884-4332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 1ST AVE SE",
            "city": "WATERTOWN",
            "state": "SD",
            "postal_code": "572014499",
            "telephone_number": "605-886-8482",
            "fax_number": "605-884-4332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROVES",
        "first_name": "TERRI",
        "middle_name": "L",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-02",
        "last_updated": "2018-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "SD",
            "license": "0628",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "0628",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elias Grimsley
• Casey Grimsrud, PT, DPT
• Kelli Dawn Grismer, PTA
• Gabriella Groos, CRNA
• Tucker William Gross, RDH
• Jennifer D Guest, MS, LPC
• Denise M Hall, DC
• Deb A Hamer, CCDC III NCGC
• Jace Andrew Hanisch, DDS
• Hunter John Hansen, PT, DPT

• Medical Physician Assistant in Watertown, SD
• Providers in Watertown, SD by specialty
• Medical Physician Assistant in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2018; 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.