Individual provider Active NPI

Terry Nuth, NP

  • Family Nurse Practitioner
  • Fresno, CA
National Provider Identifier
1891542015
Registry record updated May 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95030033 Issued in CA
Practice address
6180 E Inyo St
Fresno, CA 93727-6055
Phone
(253) 355-3024
NPI assigned
May 6, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95030033 CA Primary

Addresses

Primary practice location

6180 E Inyo St
Fresno, CA 93727-6055

Mailing address

6180 E Inyo St
Fresno, CA 93727-6055
Phone (253) 355-3024

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241104003495 CA Practitioner - Nurse Practitioner 1557894110 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95030033CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
California Dreams Medical Corporation PC CurrentSince Sep 9, 2024 Accepting new patients
Affiliated Physician Practice Inc PastSince Sep 9, 2024 Accepting new patients

Locations

3656 W Shaw Ave
Fresno, CA 93711
Phone (559) 388-8430

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.

NPI Registry JSON

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

{
    "created_epoch": "1714953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714953600000",
    "number": "1891542015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6180 E INYO ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937276055",
            "telephone_number": "253-355-3024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6180 E INYO ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937276055",
            "telephone_number": "253-355-3024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUTH",
        "first_name": "TERRY",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-06",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95030033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.