Active NPI
Terri Pam Allred, A.R.N.P.
- Family Nurse Practitioner
- Sebring, FL
National Provider Identifier
1689633836
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- ARNP3395352
- Practice address
- 4958 Sun N Lake Blvd
Sebring, FL 33872-2167 - Phone
- (863) 386-4711
- Fax
- (863) 386-4301
- NPI assigned
- Mar 17, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | ARNP3395352 | FL | Primary |
Addresses
Primary practice location
4958 Sun N Lake Blvd
Sebring, FL 33872-2167
Mailing address
4958 Sun N Lake Blvd
Sebring, FL 33872-2167
Phone (863) 386-4711
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 311421000 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP3395352 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sun 'N Lake Medical Group,PA | Past | Accepting new patients | |
| Sun 'N Lake Medical Group,PA | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Rural Health Clinic/Center
- Lake Placid, FL
- NPI 1144400540
-
- Rural Health Clinic/Center
- Sebring, FL
- NPI 1639375165
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1403049600000",
"number": "1689633836",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4958 SUN N LAKE BLVD",
"city": "SEBRING",
"state": "FL",
"postal_code": "338722167",
"telephone_number": "863-386-4711",
"fax_number": "863-386-4301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4958 SUN N LAKE BLVD",
"city": "SEBRING",
"state": "FL",
"postal_code": "338722167",
"telephone_number": "863-386-4711",
"fax_number": "863-386-4301"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLRED",
"first_name": "TERRI",
"middle_name": "PAM",
"credential": "A.R.N.P.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-03-17",
"last_updated": "2014-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "ARNP3395352",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "311421000",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sebring, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.