Donna L Terrusalpn, LPN

Key facts

NPI

1467637652

Entity type

Individual (NPI type 1)

Primary specialty

Licensed Practical Nurse 164W00000X

License

275991-1 (NY)

Practice address

232 Blake Ave
Bohemia, NY 11716-3415

Phone

(631) 981-2623

NPI assigned

Jan 7, 2008

Sex

Female

Sole proprietor

Yes

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 7, 2008.

{
    "created_epoch": "1199664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199664000000",
    "number": "1467637652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "232 BLAKE AVE",
            "city": "BOHEMIA",
            "state": "NY",
            "postal_code": "117163415",
            "telephone_number": "631-981-2623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232 BLAKE AVE",
            "city": "BOHEMIA",
            "state": "NY",
            "postal_code": "117163415",
            "telephone_number": "631-981-2623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERRUSALPN",
        "first_name": "DONNA",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-07",
        "last_updated": "2008-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "275991-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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