Terri Queen, RN

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

57568 Issued in WV

Practice address

2673 Old Davisson Run Road
Clarksburg, WV 26301

Phone

(681) 342-3200

Fax

(304) 622-9458

NPI assigned

Dec 2, 2022

Sex

Female

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1669939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669939200000",
    "number": "1578273223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2673 OLD DAVISSON RUN ROAD",
            "city": "CLARKSBURG",
            "state": "WV",
            "postal_code": "26301",
            "telephone_number": "681-342-3200",
            "fax_number": "304-622-9458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2673 OLD DAVISSON RUN ROAD",
            "city": "CLARKSBURG",
            "state": "WV",
            "postal_code": "26301",
            "telephone_number": "681-342-3200",
            "fax_number": "304-622-9458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUEEN",
        "first_name": "TERRI",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-02",
        "last_updated": "2022-12-02",
        "certification_date": "2022-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "WV",
            "license": "57568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "terri.wilfong@wvumedicine.org",
            "affiliation": "N",
            "endpointDescription": "Secure Email for Work",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Coordination of Care",
            "address_1": "2673 Old Davisson Run Road",
            "city": "Clarksburg",
            "state": "WV",
            "country_code": "US",
            "postal_code": "26301",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "terri.wilfong@wvumedicine.org",
            "affiliation": "N",
            "endpointDescription": "Work Email-secure",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Coordination of Care",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Coordination of Care",
            "address_1": "2673 Old Davisson Run Road",
            "city": "Clarksburg",
            "state": "WV",
            "country_code": "US",
            "postal_code": "26301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Crystal Ann Pumphrey
• Joy Pumphrey
• Jeremy Alan Pyles
• Kayla Pyles
• Katlynn Queen
• Helen L Quickle, CRNA
• Debra Quinn
• Joseph Ryan Rack, BA
• Ali A Rahimian, MD
• Macel Michele Raikes

• Home Health Registered Nurse in Clarksburg, WV
• Providers in Clarksburg, WV by specialty
• Home Health Registered Nurse in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.