Terri Medlock, MSN WHNP

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

28114242A Issued in IN

Practice address

607 3Rd Ave
Jasper, IN 47546-3636

Phone

(812) 482-2233

NPI assigned

Apr 20, 2016

Last updated

Apr 20, 2016By the provider in NPPES

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

Credentials

Master of Science - Nursing

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dubois-Pike-Warrick Economic Opportunity Committee, Inc.

  dba Tri-Cap

  • Nurse Practitioner
  • Jasper, IN
  • NPI 1295800084
  NPD (past)

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

{
    "created_epoch": "1461110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461110400000",
    "number": "1770937344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 SPRING MEADOW CIR",
            "city": "SALEM",
            "state": "IN",
            "postal_code": "471679430",
            "telephone_number": "812-620-1072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 3RD AVE",
            "city": "JASPER",
            "state": "IN",
            "postal_code": "475463636",
            "telephone_number": "812-482-2233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDLOCK",
        "first_name": "TERRI",
        "credential": "MSN WHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-20",
        "last_updated": "2016-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "IN",
            "license": "28114242A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dezaray Lazair McDonald, PHARMD
• Siera Nicole McEwen
• Shea McGovren, PTA
• Parker Wilson McIntyre
• Medical of Dubois a Professional Corporation
• Ralph E Mehling, RPH
• Laurie Mehringer, SLP
• Lisa Marie Mehringer, DPT
• Chayla Nicole Hope Mendel, DO
• Jack Patrick Mendel, DO

• Women's Health Nurse Practitioner in Jasper, IN
• Providers in Jasper, IN by specialty
• Women's Health Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2016; 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.