Individual provider Active NPI

Terri Peerenboom, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Houston, TX
National Provider Identifier
1841859113
Registry record updated Nov 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP139890 Issued in TX
Practice address
2222 Greenhouse Rd Ste 200
Houston, TX 77084-7288
Phone
(281) 993-3733
NPI assigned
Jun 11, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP139890 TX Primary

Addresses

Primary practice location

2222 Greenhouse Rd Ste 200
Houston, TX 77084-7288

Mailing address

PO Box 799
Friendswood, TX 77549-0799
Phone (281) 993-3733

Other practice location 1

308 S Friendswood Dr Ste 110
Friendswood, TX 77546-3989
Phone (281) 993-3733

Other practice location 2

4001 Preston Ave
Pasadena, TX 77505-2069
Phone (832) 619-8836

Other names 1

  • Terri Lynne Baize Other name

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

LicenseStateTypeSpecialty
AP139890TXMDPsychiatric/Mental Health Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: terri.peerenboom.1@19704.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1560211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572566400000",
    "number": "1841859113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 799",
            "city": "FRIENDSWOOD",
            "state": "TX",
            "postal_code": "775490799",
            "telephone_number": "281-993-3733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 GREENHOUSE RD STE 200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770847288",
            "telephone_number": "281-993-3733"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "308 S Friendswood Dr Ste 110",
            "address_purpose": "LOCATION",
            "city": "Friendswood",
            "state": "TX",
            "postal_code": "775463989",
            "country_code": "US",
            "telephone_number": "281-993-3733",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4001 Preston Ave",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "TX",
            "postal_code": "775052069",
            "country_code": "US",
            "telephone_number": "832-619-8836",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEERENBOOM",
        "first_name": "TERRI",
        "credential": "APRN, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-11",
        "last_updated": "2019-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP139890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TERRI",
            "last_name": "BAIZE",
            "middle_name": "LYNNE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

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