Active NPI
Shannon L. Terrio, N.P.
- Nurse Practitioner
- Boston, MA
National Provider Identifier
1861773103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- RN2264131
- Practice address
- 333 Longwood Ave FL 6
Boston, MA 02115-5711 - Phone
- (617) 355-8136
- Fax
- (617) 730-0194
- NPI assigned
- Aug 31, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN2264131 | MA | |
| Nurse Practitioner | 363L00000X | RN2264131 | MA | Primary |
Addresses
Primary practice location
333 Longwood Ave FL 6
Boston, MA 02115-5711
Mailing address
333 Longwood Ave FL 6
Boston, MA 02115-5711
Phone (617) 355-8136
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 042297845 | Other | MULTI-PLAN | |
| SS0116 | Other | MA | BCBSMA |
| 110091592A | Medicaid | MA | |
| 1861773103 | Other | FALLON | |
| 042297845 | Other | TRICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children'S Hospital Pediatric Associates, Inc | Current | Accepting new patients | |
| Childrens Hospital Boston | Past | Accepting new patients |
Locations
300 Longwood Ave
Boston, MA 02115
Phone (617) 355-4956
333 Longwood Ave
Fl 6
Boston, MA 02115
Phone (617) 355-7181
55 Fogg Rd
Weymouth, MA 02190
Phone (781) 340-4293
Interoperability endpoints
- sterrio31896@direct.bostonchildrens.org
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatrics Physician
- Boston, MA
- NPI 1457306664
-
- Children's Hospital
- Boston, MA
- NPI 1770741530
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548892800000",
"number": "1861773103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 LONGWOOD AVE FL 6",
"city": "BOSTON",
"state": "MA",
"postal_code": "021155711",
"telephone_number": "617-355-8136",
"fax_number": "617-730-0194"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 LONGWOOD AVE FL 6",
"city": "BOSTON",
"state": "MA",
"postal_code": "021155711",
"telephone_number": "617-355-8136",
"fax_number": "617-730-0194"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TERRIO",
"first_name": "SHANNON",
"middle_name": "L.",
"name_prefix": "Ms.",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-31",
"last_updated": "2019-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MA",
"license": "RN2264131",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MA",
"license": "RN2264131",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MULTI-PLAN",
"identifier": "042297845",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSMA",
"identifier": "SS0116",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110091592A",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FALLON",
"identifier": "1861773103",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "042297845",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2019; 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.