Mark Eric Terwilliger, CPNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

854069 Issued in TX

Practice address

200 Nola Ruth Blvd
Harker Heights, TX 76548-6074

Phone

(877) 800-5722

Fax

(254) 698-1673

NPI assigned

Apr 7, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Pediatric Nurse Practitioner, Nurse Practitioner

State licenses

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

{
    "created_epoch": "1144368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399248000000",
    "number": "1386607992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 E UNIVERSITY AVE",
            "address_2": "SUITE 200",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786266814",
            "telephone_number": "877-800-5722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 NOLA RUTH BLVD",
            "city": "HARKER HEIGHTS",
            "state": "TX",
            "postal_code": "765486074",
            "telephone_number": "877-800-5722",
            "fax_number": "254-698-1673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERWILLIGER",
        "first_name": "MARK",
        "middle_name": "ERIC",
        "credential": "CPNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-07",
        "last_updated": "2014-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "854069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Renee Taylor
• Jillian Taylor
• Katelyn Christine Taylor, M.S., CCC-SLP
• Sherwhonda Taylor
• Haley Teasdale
• Texas Dental Sleep Solutions PLLC
• Texas Home Healthcare Partners, LP
• The Jaybird Learning Academy, Inc.
• Therapeds Works LLC
• Richard Theresa III

• All providers in Harker Heights, TX
• Pediatric Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2014; 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.