Terrace at Mountain Creek

Primary specialty

Point of ServiceTaxonomy code 305S00000X

Legal business name

TERRACE AT MOUNTAIN CREEK

Practice address

1005 Mountain Creek Rd
Chattanooga, TN 37405-1638

Phone

(423) 874-0200

Fax

(423) 874-0358

NPI assigned

Jun 19, 2007

Organization subpart

No

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

Authorized official

Name

Mr. John Holtz

Title

Controller

Phone

(541) 747-3373

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210636800000",
    "number": "1417152372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78 CENTENNIAL LOOP",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974017900",
            "telephone_number": "541-747-3373",
            "fax_number": "541-747-0673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 MOUNTAIN CREEK RD",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374051638",
            "telephone_number": "423-874-0200",
            "fax_number": "423-874-0358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERRACE AT MOUNTAIN CREEK",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-19",
        "last_updated": "2008-05-13",
        "status": "A",
        "authorized_official_last_name": "HOLTZ",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "541-747-3373",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Karis Terpstra, APRN
• Blaire Chandler Terrell
• Connie Joellen Terrell, FNP-BC
• Dornise Lashun Terrell
• Terri L. Rieth, PHD
• Terry W. Smith M.D., P.C.

• Point of Service in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Point of Service in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.