Tera J Gwaldis, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11009720 Issued in FL

Practice address

4570 County Road 13 S
Elkton, FL 32033-3402

Phone

(904) 400-1678

NPI assigned

Oct 15, 2020

Last updated

Oct 24, 2024By 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

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Jack M Matheny II, MD, LLC

  • Primary Care Clinic/Center
  • Palatka, FL
  • NPI 1578399747
  Medicare reassignment NPD
• Applied Ingenuity Diagnostics LLC

  • Clinical Medical Laboratory
  • Orlando, FL
  • NPI 1174090724
  NPD
• Jack M Matheny II, MD, LLC

  dba Better Health and Wellness Clinic

  • Rural Health Clinic/Center
  • Palatka, FL
  • NPI 1437042785
  NPD

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

{
    "created_epoch": "1602720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729728000000",
    "number": "1821696303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4570 COUNTY ROAD 13 S",
            "city": "ELKTON",
            "state": "FL",
            "postal_code": "320333402",
            "telephone_number": "904-400-1678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4570 COUNTY ROAD 13 S",
            "city": "ELKTON",
            "state": "FL",
            "postal_code": "320333402",
            "telephone_number": "904-400-1678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GWALDIS",
        "first_name": "TERA",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-15",
        "last_updated": "2024-10-24",
        "certification_date": "2024-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11009720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Drake, LCSW
• Jessica S Dugan, ITDS
• Mary Beth Dunn, PTA
• Aaron Emmel, PHARM.D.
• Megan Godwin, FNP-C
• I Teach Speech, LLC
• Julie Chau Inlavongsa, RD, LD/N
• Jolly Mobility Inc. (Next Day Access)
• Grace Marie King
• Therese Masters, DPT

• Family Nurse Practitioner in Elkton, FL
• Providers in Elkton, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.