Individual provider Active NPI

Sophie Terzo, FNP

  • Family Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1497149603
Registry record updated Mar 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP127810 Issued in TX
Practice address
6190 Lyndon B Johnson Fwy
Dallas, TX 75240-6344
Phone
(972) 851-0055
NPI assigned
Mar 25, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2015

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 AP127810 TX Primary

Addresses

Primary practice location

6190 Lyndon B Johnson Fwy
Dallas, TX 75240-6344

Mailing address

4220 Herschel Ave
Apartment 302
Dallas, TX 75219-2359
Phone (312) 479-0846

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
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP127810TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic Diagnostic of Texas PLLC CurrentSince May 13, 2015 Accepting new patients
Minuteclinic Diagnostic of Texas PLLC Family CurrentSince May 13, 2015 Accepting new patients

Locations

1540 E Main St
Allen, TX 75002
Phone (214) 383-9765

3133 E Lemmon Ave
Dallas, TX 75204
Phone (214) 599-2018

1413 Oates Dr
Mesquite, TX 75150
Phone (972) 613-7001

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": "1427241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427241600000",
    "number": "1497149603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4220 HERSCHEL AVE",
            "address_2": "APARTMENT 302",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752192359",
            "telephone_number": "312-479-0846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6190 LYNDON B JOHNSON FWY",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752406344",
            "telephone_number": "972-851-0055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERZO",
        "first_name": "SOPHIE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-25",
        "last_updated": "2015-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP127810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.