Terri Denise Furfaro, DNP,APN,FNP-BC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

209005181 Issued in IL

Practice address

510 Fullerton Rd
Swansea, IL 62226-2970

Phone

(618) 233-7666

Fax

(618) 233-7461

NPI assigned

Dec 30, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IL

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

Specialty

Nurse Practitioner

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Distinctive Dermatology LTDGroup PAC ID 1850365842, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Distinctive Dermatologyltd

  • Dermatology Physician
  • Swansea, IL
  • NPI 1518028398

  Nurse Practitioner

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1135900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419379200000",
    "number": "1497732382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 FULLERTON RD",
            "city": "SWANSEA",
            "state": "IL",
            "postal_code": "622262970",
            "telephone_number": "618-233-7666",
            "fax_number": "618-233-7461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 FULLERTON RD",
            "city": "SWANSEA",
            "state": "IL",
            "postal_code": "622262970",
            "telephone_number": "618-233-7666",
            "fax_number": "618-233-7461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FURFARO",
        "first_name": "TERRI",
        "middle_name": "DENISE",
        "credential": "DNP,APN,FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-30",
        "last_updated": "2014-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209005181",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR PTAN",
            "identifier": "P00157698",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "209005181",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa M Fox, LCSW
• Frank Scott Parkway Family Dental, LLC
• Frank Scott Parkway PC
• Ashley Fraser
• Jasmine Fulton, LSW
• Kerry Gallagher, LPC
• Bryan Ganim, DMD, MS
• Gregory T Garrison, M.D.
• Gateway Foundation, Inc.
• Gateway Professional Services, PC

• Nurse Practitioner in Swansea, IL
• Providers in Swansea, IL by specialty
• Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.