Individual provider Active NPI

Mary Caroline Terranova, CNM

  • Advanced Practice Midwife
  • Anchorage, AK
National Provider Identifier
1740293026
Registry record updated Dec 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
AP111307 Issued in TX
Practice address
4320 Diplomacy Dr
Attn: Sherry Reedy
Anchorage, AK 99508-5925
Phone
(907) 729-3971
Fax
(907) 729-1542
NPI assigned
Aug 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X AP111307 TX Primary

Addresses

Primary practice location

4320 Diplomacy Dr
Attn: Sherry Reedy
Anchorage, AK 99508-5925

Mailing address

777 Lowndes Hill Rd
Greenville, SC 29607-2101
Phone (800) 967-2289

Other identifiers 1

IdentifierTypeStateIssuer
NP0117MedicaidAK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050531000382 TX Practitioner - Certified Nurse Midwife (CNM) 7719929819 Reassigns benefits to 2 organizations
Practice locations: Austin, TX

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
833AKMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lone Star Circle of Care CurrentSince Oct 25, 2022 Accepting new patients
Obhg Texas Holdings, P.a. CurrentSince May 2, 2022 Accepting new patients
Lone Star Circle of Care CurrentSince Oct 25, 2022 Accepting new patients
Lone Star Circle of Care Current Accepting new patients
Lone Star Circle of Care Past Accepting new patients
Anchorage Women'S Clinic, LLC PastSince May 2, 2011 Accepting new patients
Planned Parenthood Great Northwest, Hawai'I, Alaska, Indiana, Kentucky Past Accepting new patients
Obhg Alaska, P.C. Past Accepting new patients

Locations

777 Lowndes Hill Rd
Bldg 1
Greenville, SC 29607
Phone (864) 908-3736

919 E 32nd St
Austin, TX 78705
Phone (512) 343-2466

1221 W Ben White Blvd
Ste 200B
Austin, TX 78704
Phone (512) 524-9249

12221 N Mopac Expy
Austin, TX 78758
Phone (512) 901-2530

2423 Williams Dr
Georgetown, TX 78628
Phone (512) 341-8908

Interoperability endpoints

  • Direct secure messaging: mary.terranova.p1@direct.lscctx.nextgenshare.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.

NPI Registry JSON

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669852800000",
    "number": "1740293026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 LOWNDES HILL RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296072101",
            "telephone_number": "800-967-2289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4320 DIPLOMACY DR",
            "address_2": "ATTN: SHERRY REEDY",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085925",
            "telephone_number": "907-729-3971",
            "fax_number": "907-729-1542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERRANOVA",
        "first_name": "MARY",
        "middle_name": "CAROLINE",
        "name_prefix": "Ms.",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-15",
        "last_updated": "2022-12-01",
        "certification_date": "2022-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "TX",
            "license": "AP111307",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP0117",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.