Individual provider Active NPI

Terrie Alice Bodden, RN, MSN

  • Registered Nurse
  • Metairie, LA
National Provider Identifier
1790436848
Registry record updated Jan 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
152303 Issued in LA
Practice address
111 N Causeway Blvd
Metairie, LA 70001-5450
Phone
(504) 838-5100
NPI assigned
Jan 11, 2022
Last updated
Jan 11, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 152303 LA Primary

Addresses

Primary practice location

111 N Causeway Blvd
Metairie, LA 70001-5450

Mailing address

2224 Litchwood LN
Harvey, LA 70058-2219
Phone (504) 339-4496

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address TERRIE.BODDEN@LA.GOV Direct
Direct Messaging Address TERRIE.BODDEN@LA.GOV Direct

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)
Not enrolled
Credentials
Master of Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
152303LAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1641859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641859200000",
    "number": "1790436848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2224 LITCHWOOD LN",
            "city": "HARVEY",
            "state": "LA",
            "postal_code": "700582219",
            "telephone_number": "504-339-4496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 N CAUSEWAY BLVD",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700015450",
            "telephone_number": "504-838-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BODDEN",
        "first_name": "TERRIE",
        "middle_name": "ALICE",
        "credential": "RN, MSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-11",
        "last_updated": "2022-01-11",
        "certification_date": "2022-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "LA",
            "license": "152303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "TERRIE.BODDEN@LA.GOV",
            "affiliation": "N",
            "endpointDescription": "WORK EMAIL",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "111 N Causeway Blvd",
            "city": "Metairie",
            "state": "LA",
            "country_code": "US",
            "postal_code": "700015450",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "TERRIE.BODDEN@LA.GOV",
            "affiliation": "N",
            "endpointDescription": "WORK EMAIL",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "111 N Causeway Blvd",
            "city": "Metairie",
            "state": "LA",
            "country_code": "US",
            "postal_code": "700015450",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2022; 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.