Terri L. Schuetz, ANP-BC

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

46087 Issued in WV

Practice address

302 W Main Street
Sophia, WV 25921-1283

Phone

(304) 683-3809

Fax

(304) 683-5761

NPI assigned

Aug 20, 2009

Last updated

Sep 9, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1250726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315526400000",
    "number": "1548492879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 337",
            "city": "SCARBRO",
            "state": "WV",
            "postal_code": "259170337",
            "telephone_number": "304-469-2905",
            "fax_number": "304-465-5486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 W MAIN STREET",
            "city": "SOPHIA",
            "state": "WV",
            "postal_code": "259211283",
            "telephone_number": "304-683-3809",
            "fax_number": "304-683-5761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHUETZ",
        "first_name": "TERRI",
        "middle_name": "L.",
        "credential": "ANP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-20",
        "last_updated": "2011-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WV",
            "license": "46087",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "WV",
            "license": "46087",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810019564",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• New River Health Association, Inc. (New River Health - Sophia)
• New River Health Association, Inc. (New River Health Lester Square)
• Angel Lavonna Proctor
• Sondra Ray
• Roger D. Clay, D.D.S.,Inc
• Goldie Shrewsbury
• Amanda Dawn Simms
• Kelli Stump
• Kathleen Thomas
• Kimberly Dawn Tingler

• Adult Health Nurse Practitioner in Sophia, WV
• Providers in Sophia, WV by specialty
• Adult Health Nurse Practitioner in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.