Individual provider Active NPI

Terreca Annmarie Edwards, FNP

  • Family Nurse Practitioner
  • Garden City, NY
National Provider Identifier
1427665207
Registry record updated Sep 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0985954 Issued in NY
Practice address
501 Franklin Ave Ste 140
Garden City, NY 11530-5807
Phone
(516) 531-2000
NPI assigned
Sep 25, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2020

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 0985954 NY Primary

Addresses

Primary practice location

501 Franklin Ave Ste 140
Garden City, NY 11530-5807

Mailing address

501 Franklin Ave Ste 140
Garden City, NY 11530-5807
Phone (516) 531-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240426002693 NY Practitioner - Nurse Practitioner 3375983109 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0985954NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Heritage New York Medical PC CurrentSince Jul 8, 2024 Accepting new patients
Brookview Medical Associates, PLLC CurrentSince Mar 19, 2024 Accepting new patients

Locations

80 Orville Dr
Ste 100
Bohemia, NY 11716
Phone (516) 308-6610

501 Franklin Ave
Ste 300
Garden City, NY 11530
Phone (516) 515-8803

501 Franklin Ave
Ste 140
Garden City, NY 11530
Phone (516) 267-5541

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1600992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600992000000",
    "number": "1427665207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 FRANKLIN AVE STE 140",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115305807",
            "telephone_number": "516-531-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 FRANKLIN AVE STE 140",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115305807",
            "telephone_number": "516-531-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "TERRECA",
        "middle_name": "ANNMARIE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-25",
        "last_updated": "2020-09-25",
        "certification_date": "2020-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "0985954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden City, NY

Sources for this page

Verify at the official NPI Registry.