Individual provider Active NPI

Terry Lee Nunley, MSN

  • Family Nurse Practitioner
  • Annapolis, MD
National Provider Identifier
1760870554
Registry record updated Apr 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AC001587 Issued in MD
Practice address
1125 West St Ste 200
Annapolis, MD 21401-4279
Phone
(888) 654-8099
Fax
(888) 873-9399
NPI assigned
Dec 31, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024172252 VA
Family Nurse Practitioner 363LF0000X 1-167678 AL
Family Nurse Practitioner 363LF0000X AC001587 MD Primary

Addresses

Primary practice location

1125 West St Ste 200
Annapolis, MD 21401-4279

Mailing address

PO Box 791
Scottsboro, AL 35768-0791
Phone (888) 654-8099

Other identifiers 3

IdentifierTypeStateIssuer
1-167678OtherALLICENSE
AC001587OtherMDLICENSE
945001701MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150429001141 DC Practitioner - Nurse Practitioner 9830418656 Reassigns benefits to 1 organization
I20151026000115 MD Practitioner - Nurse Practitioner 9830418656 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Volunteer Tele-Services LLCGroup PAC ID 5991112294, 4 clinicians

Practice addresses (Care Compare)

1125 W St
Suite 200
Annapolis, MD 21401-4279
Phone (888) 654-8099

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse, Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0024172252VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Associates P.a., P.C. CurrentSince Oct 1, 2015 Accepting new patients
Volunteer Tele-Services LLC CurrentSince Mar 1, 2021 Accepting new patients
Emergency Medicine Associates P.a., P.C. CurrentSince Oct 1, 2015 Accepting new patients

Locations

669 County Road 97
Flat Rock, AL 35966

1125 West St
Ste 200
Annapolis, MD 21401
Phone (443) 714-7210

3168 Braverton St
Fl 4
Edgewater, MD 21037

20010 Century Blvd
Ste 200
Germantown, MD 20874

100 Hospital Rd
Prnc Frederck, MD 20678
Phone (410) 414-4791

200 Memorial Ave
Westminster, MD 21157
Phone (410) 848-3000

1701 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000

100 Fairview Dr
Franklin, VA 23851
Phone (757) 516-1153

Organizations & group practices 3

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": "1419984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680739200000",
    "number": "1760870554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 791",
            "city": "SCOTTSBORO",
            "state": "AL",
            "postal_code": "357680791",
            "telephone_number": "888-654-8099",
            "fax_number": "888-873-9399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 WEST ST STE 200",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214014279",
            "telephone_number": "888-654-8099",
            "fax_number": "888-873-9399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUNLEY",
        "first_name": "TERRY",
        "middle_name": "LEE",
        "credential": "MSN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-12-31",
        "last_updated": "2023-04-06",
        "certification_date": "2023-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024172252",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-167678",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "AC001587",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "1-167678",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "AC001587",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "945001701",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

Verify at the official NPI Registry.