Individual provider Active NPI

Terri Terry, LCMT

  • Reflexologist
  • Newport News, VA
National Provider Identifier
1689964868
Registry record updated Apr 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ReflexologistTaxonomy code 173C00000X
License
0019007068 Issued in VA
Practice address
12829 Jefferson Ave
106A
Newport News, VA 23608-3057
Phone
(757) 344-1357
NPI assigned
Apr 9, 2011
Last updated
Apr 9, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Reflexologist 173C00000X 0019007068 VA Primary

Addresses

Primary practice location

12829 Jefferson Ave
106A
Newport News, VA 23608-3057

Mailing address

12829 Jefferson Ave
106A
Newport News, VA 23608-3057
Phone (757) 344-1357

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

LicenseStateTypeSpecialty
0019007068VAMDReflexologist

NPI Registry JSON

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

{
    "created_epoch": "1302307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302307200000",
    "number": "1689964868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12829 JEFFERSON AVE",
            "address_2": "106A",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236083057",
            "telephone_number": "757-344-1357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12829 JEFFERSON AVE",
            "address_2": "106A",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236083057",
            "telephone_number": "757-344-1357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERRY",
        "first_name": "TERRI",
        "credential": "LCMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-09",
        "last_updated": "2011-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173C00000X",
            "taxonomy_group": "",
            "desc": "Reflexologist",
            "state": "VA",
            "license": "0019007068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport News, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2011; 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.