Active NPI
Teri Lynn Pierce, ARNP
- Family Medicine Physician
- Brandenburg, KY
National Provider Identifier
1780661306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 3003595
- Practice address
- 815 Hilcrest Drive
Brandenburg, KY 40108-1415 - Phone
- (270) 422-4111
- Fax
- (270) 422-3629
- NPI assigned
- Dec 23, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 3595P | KY | |
| Family Medicine Physician | 207Q00000X | 3003595 | KY | Primary |
Addresses
Primary practice location
815 Hilcrest Drive
Brandenburg, KY 40108-1415
Mailing address
815 Hillcrest Drive
Brandenburg, KY 40108-1415
Phone (270) 422-4111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 78008380 | Medicaid | KY |
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3595P | KY | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1302048000000",
"number": "1780661306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "815 HILLCREST DRIVE",
"city": "BRANDENBURG",
"state": "KY",
"postal_code": "401081415",
"telephone_number": "270-422-4111",
"fax_number": "270-422-3629"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "815 HILCREST DRIVE",
"city": "BRANDENBURG",
"state": "KY",
"postal_code": "401081415",
"telephone_number": "270-422-4111",
"fax_number": "270-422-3629"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIERCE",
"first_name": "TERI",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-23",
"last_updated": "2011-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KY",
"license": "3595P",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KY",
"license": "3003595",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "78008380",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brandenburg, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.