Schquanda Sade Terry

Primary specialty

Prosthetics Case ManagementTaxonomy code 1744P3200X

Practice address

12559 Fallohide LN
Jacksonville, FL 32225-3457

Phone

(904) 487-8468

NPI assigned

Mar 12, 2018

Sex

Female

Sole proprietor

Yes

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

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.

• Lyla Terry Salon

  • Prosthetics Case Management
  • Jacksonville, FL
  • NPI 1174028229
  NPD (past) Authorized official

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

{
    "created_epoch": "1520812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1770086118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 43517",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322033517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12559 FALLOHIDE LN",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322253457",
            "telephone_number": "904-487-8468"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1839 Lane Ave S",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322101260",
            "country_code": "US",
            "telephone_number": "904-487-8468",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TERRY",
        "first_name": "SCHQUANDA",
        "middle_name": "SADE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-12",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "",
            "desc": "Specialist, Prosthetics Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charshus Terry
• Ivey Terry
• Jamik Terry
• Jay Anthony Terry, L.M.T., C.N.M.T.
• Nicole Terry
• Sylvester Lee Terry Jr.
• Tameka Denise Terry, APRN
• William K Terry, D.C.
• Greg Terryn, RN-BSN
• Kara K Teruya, M.D.

• Prosthetics Case Management in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Prosthetics Case Management in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.