Terry Roxanne Quillinan, RN NURSE

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

19591 Issued in WY

Practice address

145 Aspen Grove Drive W
Evanston, WY 82930-4773

Phone

(307) 789-9000

Fax

(307) 789-2233

NPI assigned

Jul 23, 2010

Last updated

Jul 23, 2010By the provider in NPPES

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

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": "1279843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279843200000",
    "number": "1669785226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 ASPEN GROVE DR W",
            "city": "EVANSTON",
            "state": "WY",
            "postal_code": "829304773",
            "telephone_number": "307-789-9000",
            "fax_number": "307-789-2233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 ASPEN GROVE DRIVE W",
            "city": "EVANSTON",
            "state": "WY",
            "postal_code": "829304773",
            "telephone_number": "307-789-9000",
            "fax_number": "307-789-2233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUILLINAN",
        "first_name": "TERRY",
        "middle_name": "ROXANNE",
        "name_prefix": "Mrs.",
        "credential": "RN NURSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-23",
        "last_updated": "2010-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "WY",
            "license": "19591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Case Manager/Care Coordinator in Evanston, WY
• Providers in Evanston, WY by specialty
• Case Manager/Care Coordinator in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2010; 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.