Individual provider Active NPI

Ashley Marie Terbrock, FNP

  • Family Nurse Practitioner
  • Maryland Heights, MO
National Provider Identifier
1427627611
Registry record updated Jun 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2021022257 Issued in MO
Practice address
78 Weldon Pkwy
Maryland Heights, MO 63043-3202
Phone
(314) 513-1870
Fax
(314) 513-1869
NPI assigned
Jun 22, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2021022257 MO Primary

Addresses

Primary practice location

78 Weldon Pkwy
Maryland Heights, MO 63043-3202

Mailing address

78 Weldon Pkwy
Maryland Heights, MO 63043-3202
Phone (314) 513-1870

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Ashley.terbrock@mercy.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Interoperability endpoints

  • Direct secure messaging: ashley.terbrock@mercy.net

NPI Registry JSON

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

{
    "created_epoch": "1624320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624320000000",
    "number": "1427627611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78 WELDON PKWY",
            "city": "MARYLAND HEIGHTS",
            "state": "MO",
            "postal_code": "630433202",
            "telephone_number": "314-513-1870",
            "fax_number": "314-513-1869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78 WELDON PKWY",
            "city": "MARYLAND HEIGHTS",
            "state": "MO",
            "postal_code": "630433202",
            "telephone_number": "314-513-1870",
            "fax_number": "314-513-1869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERBROCK",
        "first_name": "ASHLEY",
        "middle_name": "MARIE",
        "name_prefix": "Miss",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-22",
        "last_updated": "2021-06-22",
        "certification_date": "2021-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2021022257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Ashley.terbrock@mercy.net",
            "affiliation": "N",
            "endpointDescription": "organization email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "78 Weldon Pkwy",
            "city": "Maryland Heights",
            "state": "MO",
            "country_code": "US",
            "postal_code": "630433202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Maryland Heights, MO

Sources for this page

Verify at the official NPI Registry.