Active NPI
Terry Lee Schoenwald, WHCNP
- Nurse Practitioner
- Salt Lake City, UT
National Provider Identifier
1871587121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 3784544405
- Practice address
- 348 E 4500 S
#200
Salt Lake City, UT 84107-3906 - Phone
- (801) 262-9800
- Fax
- (801) 262-8300
- NPI assigned
- Sep 1, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 3784544405 | UT | Primary |
Addresses
Primary practice location
348 E 4500 S
#200
Salt Lake City, UT 84107-3906
Mailing address
3101 Elk Run Dr
Park City, UT 84098-5300
Phone (801) 721-9487
Other names 1
- Terry Lee Augustine
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3784544405 | UT | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Intermountain Ear,Nose, and Throat Specialists LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Medical Specialty Clinic/Center
- Salt Lake City, UT
- NPI 1487764411
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125532800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1871587121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3101 ELK RUN DR",
"city": "PARK CITY",
"state": "UT",
"postal_code": "840985300",
"telephone_number": "801-721-9487"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "348 E 4500 S",
"address_2": "#200",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841073906",
"telephone_number": "801-262-9800",
"fax_number": "801-262-8300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHOENWALD",
"first_name": "TERRY",
"middle_name": "LEE",
"name_prefix": "Mrs.",
"credential": "WHCNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "UT",
"license": "3784544405",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TERRY",
"last_name": "AUGUSTINE",
"middle_name": "LEE",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.