Individual provider Active NPI

Terri Doreen Haskins, NP (FAMILY NURSE PRA

  • Family Nurse Practitioner
  • Geneva, NY
National Provider Identifier
1689632580
Registry record updated Aug 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
334820 Issued in NY
Practice address
293 West North Street
Geneva, NY 14456-1530
Phone
(585) 398-2420
Fax
(585) 730-7500
NPI assigned
May 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F334820-1 NY
Clinical Nurse Specialist 364S00000X 507548 NY
Family Nurse Practitioner 363LF0000X 334820 NY Primary

Addresses

Primary practice location

293 West North Street
Geneva, NY 14456-1530

Mailing address

1445 Portland Avenue
Suite 309
Rochester, NY 14621-3008
Phone (585) 342-2638

Other identifiers 1

IdentifierTypeStateIssuer
02749957MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20070618000185 NY Practitioner - Nurse Practitioner 8527167402 Reassigns benefits to 4 organizations
Practice locations: Geneva, NY

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Seneca County TreasurerGroup PAC ID 7416840301, 16 clinicians

Practice addresses (Care Compare)

31 Thurber Dr
Waterloo, NY 13165-1665
Phone (315) 539-1980

Hospital & facility affiliations

  • Geneva General Hospital Hospital, Geneva, NY, CCN 330058

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
334820NYMDFamily Nurse Practitioner
F334820-1NYMDFamily Nurse Practitioner
507548NYMDClinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Soldiers & Sailors Memorial Hospital CurrentSince Mar 18, 2018 Accepting new patients
Seneca County Treasurer CurrentSince Nov 7, 2020 Accepting new patients
FLH Medical, PC CurrentSince May 12, 2010 Accepting new patients
Seneca County Addictions Program CurrentSince Nov 7, 2020 Accepting new patients
FLH Medical, PC CurrentSince May 12, 2010 Accepting new patients
Soldiers & Sailors Memorial Hospital CurrentSince Mar 18, 2018 Accepting new patients
Boev Medical, PLLC CurrentSince Jul 8, 2019 Accepting new patients
Boev Medical, PLLC CurrentSince Jul 8, 2019 Accepting new patients

Locations

8000 Box
Buffalo, NY 14267
Phone (716) 213-0772

821 Pre Emption Rd
Ste 200
Geneva, NY 14456
Phone (315) 325-4422

789 Pre Emption Rd
Ste 600
Geneva, NY 14456
Phone (315) 719-0060

293 W North St
Geneva, NY 14456
Phone (315) 462-3563

196 North St
Geneva, NY 14456
Phone (315) 787-4156

141 Central Ave
Keuka Park, NY 14478
Phone (315) 279-5000

418 N Main St
Penn Yan, NY 14527
Phone (315) 531-2000

1445 Portland Ave
Ste 309
Rochester, NY 14621
Phone (585) 342-2638

31 Thurber Dr
Ste 1
Waterloo, NY 13165
Phone 3155391920 ext. 1975

31 Thurber Dr
Waterloo, NY 13165
Phone (315) 539-1980

Interoperability endpoints

  • Direct secure messaging: thaskinsfnpc@medyourway.medentdirect.com

Organizations & group practices 8

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

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": "1146528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565740800000",
    "number": "1689632580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1445 PORTLAND AVENUE",
            "address_2": "SUITE 309",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146213008",
            "telephone_number": "585-342-2638",
            "fax_number": "585-730-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "293 WEST NORTH STREET",
            "city": "GENEVA",
            "state": "NY",
            "postal_code": "144561530",
            "telephone_number": "585-398-2420",
            "fax_number": "585-730-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASKINS",
        "first_name": "TERRI",
        "middle_name": "DOREEN",
        "credential": "NP (FAMILY NURSE PRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-02",
        "last_updated": "2019-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F334820-1",
            "primary": false
        },
        {
            "code": "364S00000X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist",
            "state": "NY",
            "license": "507548",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "334820",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02749957",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Geneva, NY

Sources for this page

Verify at the official NPI Registry.