Individual provider Active NPI

Devin Kimberly Terry, CNS, RN

  • Specialist
  • Tampa, FL
National Provider Identifier
1740591346
Registry record updated Jun 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
S02226 CNS Issued in AR
Practice address
12425 Race Track Rd
Suite #100
Tampa, FL 33626-3102
Phone
(800) 876-0922
Fax
(800) 766-7713
NPI assigned
Jun 29, 2010
Last updated
Jun 29, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R69599 AR
Specialist 174400000X S02226 CNS AR Primary

Addresses

Primary practice location

12425 Race Track Rd
Suite #100
Tampa, FL 33626-3102

Mailing address

12425 Race Track Rd
Suite #100
Tampa, FL 33626-3102
Phone (800) 876-0922

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
Credentials
Certified Nurse Specialist, Registered Nurse

State licenses

LicenseStateTypeSpecialty
R69599ARMDRegistered Nurse
S02226 CNSARMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1277769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277769600000",
    "number": "1740591346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12425 RACE TRACK RD",
            "address_2": "SUITE #100",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336263102",
            "telephone_number": "800-876-0922",
            "fax_number": "800-766-7713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12425 RACE TRACK RD",
            "address_2": "SUITE #100",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336263102",
            "telephone_number": "800-876-0922",
            "fax_number": "800-766-7713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERRY",
        "first_name": "DEVIN",
        "middle_name": "KIMBERLY",
        "credential": "CNS, RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-29",
        "last_updated": "2010-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AR",
            "license": "R69599",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AR",
            "license": "S02226 CNS",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2010; 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.