Active NPI
Terry Lee Nunley, MSN
- Family Nurse Practitioner
- Annapolis, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AC001587
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1-167678 | Other | AL | LICENSE |
| AC001587 | Other | MD | LICENSE |
| 945001701 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0024172252 | VA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Medicine Associates P.a., P.C. | Current | Accepting new patients | |
| Volunteer Tele-Services LLC | Current | Accepting new patients | |
| Emergency Medicine Associates P.a., P.C. | Current | 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.
-
- Nurse Practitioner
- Annapolis, MD
- NPI 1154916476
-
- Emergency Medicine Physician
- Falls Church, VA
- NPI 1134117393
DC, MD
-
- Internal Medicine Physician
- Culpeper, VA
- NPI 1881559102
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.