Active NPI
Terrie M Ford, MS ARNP
- Psychiatric/Mental Health Nurse Practitioner
- Tacoma, WA
National Provider Identifier
1750401204
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- AP 60663882
- Practice address
- 20 N Tacoma Ave
Tacoma, WA 98403-3133 - Phone
- (614) 301-4399
- NPI assigned
- Mar 29, 2007
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AP 60663882 | WA | Primary |
Addresses
Primary practice location
20 N Tacoma Ave
Tacoma, WA 98403-3133
Mailing address
117 N Tacoma Ave
Apt 805
Tacoma, WA 98403-2622
Phone (614) 301-4399
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2891652 | Medicaid | OH |
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)
- Enrolled
- Credentials
- Certified Nurse Specialist, Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP 60663882 | WA | MD | Psychiatric/Mental Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570752000000",
"number": "1750401204",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "117 N TACOMA AVE",
"address_2": "APT 805",
"city": "TACOMA",
"state": "WA",
"postal_code": "984032622",
"telephone_number": "614-301-4399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 N TACOMA AVE",
"city": "TACOMA",
"state": "WA",
"postal_code": "984033133",
"telephone_number": "614-301-4399"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORD",
"first_name": "TERRIE",
"middle_name": "M",
"credential": "MS ARNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-29",
"last_updated": "2019-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "WA",
"license": "AP 60663882",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2891652",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.