Individual provider Active NPI

Deana Terry, FNP

  • Family Nurse Practitioner
  • Water Valley, MS
National Provider Identifier
1548828882
Registry record updated Feb 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
903355 Issued in MS
Practice address
604 S Main St
Water Valley, MS 38965-3468
Phone
(662) 473-1311
NPI assigned
Jun 2, 2019
Last updated
Feb 21, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 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 903355 MS Primary

Addresses

Primary practice location

604 S Main St
Water Valley, MS 38965-3468

Mailing address

600 County Road 99
Water Valley, MS 38965-6156
Phone (662) 473-8118

Other practice location 1

420 N Main St
Water Valley, MS 38965-2506
Phone (662) 473-5273

Other practice location 2

14415 Main St
Coffeeville, MS 38922-2589
Phone (662) 675-2500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, VT, NY, AR4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20190710000135 MS Practitioner - Nurse Practitioner 5890020135 Reassigns benefits to 2 organizations
I20251113000737 VT Practitioner - Nurse Practitioner 5890020135 Reassigns benefits to 1 organization
I20251113002029 NY Practitioner - Nurse Practitioner 5890020135
I20251115000380 AR Practitioner - Nurse Practitioner 5890020135

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Yalobusha General HospitalGroup PAC ID 4486601648, shared by 6 NPIs, 19 clinicians

Practice addresses (Care Compare)

11334 Hwy 315
Water Valley, MS 38965

604 S Main St
Water Valley, MS 38965-3468
Phone (662) 473-4050

606 S Main St
Water Valley, MS 38965-3468

630 S Main St
Water Valley, MS 38965-3468
Phone (662) 473-1411

PO Box
Water Valley, MS 38965

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
903355MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Yalobusha General Hospital CurrentSince Jun 1, 2019 Accepting new patients
Openloop Healthcare Partners PC CurrentSince Sep 5, 2025 Accepting new patients
Yalobusha General Hospital CurrentSince Jun 1, 2019 Accepting new patients
Redmed, LLC CurrentSince Feb 2, 2020 Accepting new patients
Redmed, LLC CurrentSince Feb 2, 2020 Accepting new patients
Yalobusha General Hospital Current Accepting new patients
Openloop Healthcare Partners Colorado, PC CurrentSince Sep 5, 2025 Accepting new patients
Yalobusha General Hospital Past Accepting new patients
Yalobusha General Hospital Past Accepting new patients

Locations

124 W Capitol Ave
Ste 1900
Little Rock, AR 72201
Phone (479) 336-8422

400 W Capitol Ave
Ste 1700
Little Rock, AR 72201
Phone (501) 238-3509

1600 Broadway
Ste 1600
Denver, CO 80202
Phone (970) 592-8970

317 6th Ave
Ste 400
Des Moines, IA 50309
Phone (515) 612-9097

14415 Main St
Coffeeville, MS 38922
Phone (662) 473-5143

12 Brookes Crossing
Pontotoc, MS 38863
Phone (662) 489-4044

420 N Main St
Water Valley, MS 38965
Phone (662) 473-1411

604 S Main St
Water Valley, MS 38965
Phone (662) 473-1311

606 S Main St
Water Valley, MS 38965
Phone (662) 473-4050

2300 W Sahara Ave
Ste 800
Las Vegas, NV 89102
Phone (702) 234-3311

28 Liberty St
New York, NY 10005
Phone (415) 205-1229

80 Broad St
Fl 5
New York, NY 10004
Phone (201) 286-1122

4500 Mercantile Plaza Dr
Ste 300
Ft Worth, TX 76137
Phone (469) 688-9501

1108 E South Union Ave
Sandy, UT 84047
Phone (469) 466-7420

17 G W Tatro Dr
Jeffersonvlle, VT 05464
Phone (912) 515-6641

Interoperability endpoints

  • Direct secure messaging: deana.harmon.1@15461.direct.athenahealth.com

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1559433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582243200000",
    "number": "1548828882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 COUNTY ROAD 99",
            "city": "WATER VALLEY",
            "state": "MS",
            "postal_code": "389656156",
            "telephone_number": "662-473-8118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 S MAIN ST",
            "city": "WATER VALLEY",
            "state": "MS",
            "postal_code": "389653468",
            "telephone_number": "662-473-1311"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "420 N Main St",
            "address_purpose": "LOCATION",
            "city": "Water Valley",
            "state": "MS",
            "postal_code": "389652506",
            "country_code": "US",
            "telephone_number": "662-473-5273",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14415 Main St",
            "address_purpose": "LOCATION",
            "city": "Coffeeville",
            "state": "MS",
            "postal_code": "389222589",
            "country_code": "US",
            "telephone_number": "662-675-2500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TERRY",
        "first_name": "DEANA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-02",
        "last_updated": "2020-02-21",
        "certification_date": "2020-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "903355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Water Valley, MS

Sources for this page

Verify at the official NPI Registry.