Individual provider Active NPI

Scott Terranella, M.D., M.P.H.

  • Psychiatry Physician
  • Anchorage, AK
National Provider Identifier
1770629347
Registry record updated Mar 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
036147635 Issued in IL
Practice address
4020 Folker St
Anchorage, AK 99508-5321
Phone
(907) 563-1000
Fax
(907) 561-1416
NPI assigned
Jan 30, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2019

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health & General Preventive Medicine Physician 2083P0901X 046601 CT
Public Health & General Preventive Medicine Physician 2083P0901X 5751 AK
Psychiatry Physician 2084P0800X 046601 CT
Psychiatry Physician 2084P0800X 036147635 IL Primary
Psychiatry Physician 2084P0800X 5751 AK

Addresses

Primary practice location

4020 Folker St
Anchorage, AK 99508-5321

Mailing address

4020 Folker St
Anchorage, AK 99508-5321
Phone (907) 563-1000

Other identifiers 1

IdentifierTypeStateIssuer
004039244MedicaidCT

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
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
5751AKMDPublic Health & General Preventive Medicine Physician
036147635ILMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bridges Healthcare Inc. Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/bridgesct/r4/

Organizations & group practices 1

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": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551398400000",
    "number": "1770629347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4020 FOLKER ST",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085321",
            "telephone_number": "907-563-1000",
            "fax_number": "907-561-1416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4020 FOLKER ST",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085321",
            "telephone_number": "907-563-1000",
            "fax_number": "907-561-1416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERRANELLA",
        "first_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "M.D., M.P.H.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-30",
        "last_updated": "2019-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "CT",
            "license": "046601",
            "primary": false
        },
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "AK",
            "license": "5751",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CT",
            "license": "046601",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036147635",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AK",
            "license": "5751",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004039244",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 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.

Verify at the official NPI Registry.