Terwko Dewitt, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

PN5243824 Issued in FL

Practice address

1003 N 18TH St # B-196
Palatka, FL 32177-2015

Phone

(407) 409-9927

NPI assigned

Feb 15, 2022

Last updated

Feb 15, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1644883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644883200000",
    "number": "1841945102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1003 N 18TH ST # B-196",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321772015",
            "telephone_number": "407-409-9927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 N 18TH ST # B-196",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321772015",
            "telephone_number": "407-409-9927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEWITT",
        "first_name": "TERWKO",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-15",
        "last_updated": "2022-02-15",
        "certification_date": "2022-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "FL",
            "license": "PN5243824",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOH",
            "identifier": "PN5243824",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "terwkodewitt@ymail.com",
            "affiliation": "N",
            "address_1": "1003 N 18th St # B-196",
            "city": "Palatka",
            "state": "FL",
            "country_code": "US",
            "postal_code": "321772015",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Taylor Bray Delarm, FNP-C
• Belkis Delgado, MPH, RD, LD/N
• Gerald R Deputy, OD
• Susan Margaret Detar, CFM
• Douglas K Dew, M.D., MBA
• Carlton Dicarlo, PA
• Julia Kate Diehl, LMT
• Michael Anthony Diggett, PTA
• Eric Hall Dillingham, LPN
• Jose N Dizon, MD

• Licensed Practical Nurse in Palatka, FL
• Providers in Palatka, FL by specialty
• Licensed Practical Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 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.