Taylor Nicole Terveer, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209025656 Issued in IL

Practice address

4955 S State Route 159 Ste 1
Glen Carbon, IL 62034-1907

Phone

(182) 887-8556

Fax

(618) 288-7866

NPI assigned

Feb 14, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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": "1644796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696550400000",
    "number": "1861147282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 MEADOW RUE DR",
            "city": "EDWARDSVILLE",
            "state": "IL",
            "postal_code": "620253139",
            "telephone_number": "618-975-8453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4955 S STATE ROUTE 159 STE 1",
            "city": "GLEN CARBON",
            "state": "IL",
            "postal_code": "620341907",
            "telephone_number": "182-887-8556",
            "fax_number": "618-288-7866"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "607 S Lindbergh Blvd",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631312734",
            "country_code": "US",
            "telephone_number": "314-991-5438",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TERVEER",
        "first_name": "TAYLOR",
        "middle_name": "NICOLE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-14",
        "last_updated": "2023-10-06",
        "certification_date": "2023-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2021049491",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209025656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Riley Tanner, LPC, MA
• TCWC Glen Carbon, LLC
• Michele Tennyson, LCPC
• Terrific Therapy and Care LLC
• Terry J Coy
• The Center for Complete Health Dentistry
• The Palms Health Center PLLC
• Kayla Thorpe, MA, EDD
• Diane Threlkeld, DPT
• Todd Wollbrinck, OD, PC

• Family Nurse Practitioner in Glen Carbon, IL
• Providers in Glen Carbon, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2023; 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.