Prentiss Powers Terry, SLP-CCC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA7317 Issued in FL

Practice address

19960 Princewood Dr
Jupiter, FL 33458-1869

Phone

(561) 628-8874

Fax

(561) 401-9998

NPI assigned

Aug 7, 2006

Last updated

Dec 17, 2012By 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

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 2003

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355702400000",
    "number": "1861401960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19960 PRINCEWOOD DR",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334581869",
            "telephone_number": "561-628-8874",
            "fax_number": "561-401-9998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19960 PRINCEWOOD DR",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334581869",
            "telephone_number": "561-628-8874",
            "fax_number": "561-401-9998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERRY",
        "first_name": "PRENTISS",
        "middle_name": "POWERS",
        "name_prefix": "Mrs.",
        "credential": "SLP-CCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-07",
        "last_updated": "2012-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA7317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tenet Florida Physician Services, LLC
• Maelouise Tennant, PH.D., LMFT
• Nathan Beecham Tennyson, MD
• Loretta M Teri, OTRL
• Sari Sack Terrusa, LMHC
• TGPN M1 LLC
• The Brain Spa Concierge PA (The Brain Spa Concierge)
• The Brain Spa, LLC
• The Dental Group LLC
• The Healing and Creative Arts Center, Inc

• Speech-Language Pathologist in Jupiter, FL
• Providers in Jupiter, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.