Eartha A Terrell

Primary specialty

Community Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0812X

License

364SP0812X Issued in OH

Practice address

209 W Woodland Ave
Youngstown, OH 44502-1866

Phone

(330) 787-9180

NPI assigned

Apr 24, 2019

Last updated

Apr 24, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1556064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556064000000",
    "number": "1730743840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 W WOODLAND AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445021866",
            "telephone_number": "330-787-9180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 W WOODLAND AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445021866",
            "telephone_number": "330-787-9180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERRELL",
        "first_name": "EARTHA",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-24",
        "last_updated": "2019-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0812X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Community",
            "state": "OH",
            "license": "364SP0812X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0202708",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristina Terlecki
• Brandon Michael Terlecky
• Seth Christopher Terlecky, PHARM. D.
• Jeanette M Terlizzi, CDCA, CPRS, QMHS
• Sammy B Termanini, MD
• Indoneasha Terry
• Daniel J Testa, PHARMD
• Rachel Marie Testa, CRNA
• Susan Testa, MA CCC/SLP
• Balachandar Thangappazham

• Clinical Nurse Specialist in Youngstown, OH
• Providers in Youngstown, OH by specialty
• Clinical Nurse Specialist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2019; 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.