Tyrenson Gordon Terry

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Practice address

570 Newcomb St SE Apt 3
Washington, DC 20032-2552

Phone

(240) 535-4166

NPI assigned

Jan 20, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1642636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642636800000",
    "number": "1558013615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "570 NEWCOMB ST SE APT 3",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200322552",
            "telephone_number": "240-535-4166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "570 NEWCOMB ST SE APT 3",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200322552",
            "telephone_number": "240-535-4166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERRY",
        "first_name": "TYRENSON",
        "middle_name": "GORDON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-01-20",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "ttyrenson@gmail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "useOtherDescription": "email",
            "address_1": "570 Newcomb St SE",
            "city": "Washington",
            "state": "DC",
            "country_code": "US",
            "postal_code": "200322552",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lakeisha Renee Terry
• Michael Terry
• Phillis Terry
• Talia Parshana Terry, HOME HEALTH AIDE
• Teika Terry
• Vanessa Terry
• Haymanot Teruneh, HHA
• Natalie Terwilliger
• Asnakech Tesema
• Nitsuh Tesema

• Personal Care Attendant in Washington, DC
• Providers in Washington, DC by specialty
• Personal Care Attendant in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2022; 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.