Olivia Wild-Terrill, BA

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

117 Rogers Drive
Holdenville, OK 74848

Phone

(405) 379-6668

NPI assigned

Feb 10, 2012

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Arts

Practice roles

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.

• State of Oklahoma

  • Skilled Nursing Facility
  • Talihina, OK
  • NPI 1154589430
  NPD (past)

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

{
    "created_epoch": "1328832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328832000000",
    "number": "1881967693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 590",
            "city": "HOLDENVILLE",
            "state": "OK",
            "postal_code": "748480590",
            "telephone_number": "405-379-6668",
            "fax_number": "405-379-5372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 ROGERS DRIVE",
            "city": "HOLDENVILLE",
            "state": "OK",
            "postal_code": "74848",
            "telephone_number": "405-379-6668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILD-TERRILL",
        "first_name": "OLIVIA",
        "credential": "BA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-10",
        "last_updated": "2012-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Therapy Care Outpatient PC
• Gloria Buenrostro Turner, R OT
• Phil J Tyree, DDS
• Wal-Mart Stores East LP
• Brandon Ward, M.S.
• Candice Nicole Williams
• Donna Sue Wimmer-Steves, M.S., L.P.C., L.B.P.
• Jessica Yates
• Lisa Young, BA/BHCM
• Leander Zenteno

• Counselor in Holdenville, OK
• Providers in Holdenville, OK by specialty
• Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2012; 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.