Marisa Terry, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

2987921 Issued in NY

Practice address

1680 Walden Ave
Cheektowaga, NY 14225-4914

Phone

(716) 894-7777

Fax

(716) 894-0604

NPI assigned

Dec 29, 2009

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• BWC Amplified Counseling Services LLC

  • Mental Health Counselor
  • Dubois, PA
  • NPI 1215666177
  NPD Authorized official
• Victory Life Health Services

  dba The Bridge into Wellness Center

  • Addiction Medicine (Family Medicine) Physician
  • Waynesburg, PA
  • NPI 1366806358
  NPD (past) Authorized official
• Aftercare

  • Nursing Care Agency
  • Cheektowaga, NY
  • NPI 1750787628
  NPD (past)
• Aftercare Nursing Services, Inc.

  • Home Health Agency
  • Cheektowaga, NY
  • NPI 1841384906
  NPD (past)

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

{
    "created_epoch": "1262044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262044800000",
    "number": "1750611661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6221 ROUTE 474",
            "city": "ASHVILLE",
            "state": "NY",
            "postal_code": "14710",
            "telephone_number": "716-782-4158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1680 WALDEN AVE",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "142254914",
            "telephone_number": "716-894-7777",
            "fax_number": "716-894-0604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERRY",
        "first_name": "MARISA",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-29",
        "last_updated": "2009-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "2987921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebekah Tate, PHARMD
• Lawerence Taylor, LPN
• Technical Gas Products, Inc
• Karen E Terech, OT
• Alita Terry
• Tessa Bechtold, Licensed Mental Health Counselor, P.C.
• Michelle Teter, MS IN EDUCATION
• The N.Y. Optical Shop
• Angelique Thomas
• Christine Thomas, RN

• Licensed Practical Nurse in Cheektowaga, NY
• Providers in Cheektowaga, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2009; 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.