Lincoln Dale Henry Terrell, CNIM

Primary specialty

Electroneurodiagnostic Specialist/TechnologistTaxonomy code 246ZE0600X

Practice address

6642 Clayton Rd # 403
Saint Louis, MO 63117-1602

Phone

(636) 226-4159

NPI assigned

Dec 11, 2020

Sex

Male

Sole proprietor

No

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

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

{
    "created_epoch": "1607644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607644800000",
    "number": "1902402191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6642 CLAYTON RD # 403",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631171602",
            "telephone_number": "636-226-4159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6642 CLAYTON RD # 403",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631171602",
            "telephone_number": "636-226-4159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERRELL",
        "first_name": "LINCOLN",
        "middle_name": "DALE HENRY",
        "name_prefix": "Mr.",
        "credential": "CNIM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-11",
        "last_updated": "2020-12-11",
        "certification_date": "2020-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZE0600X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret R Terranova
• Liza Terrazas, MA, NCSP
• Terrell Borum, MSW, LCSW, LLC
• Arnesia Faith Terrell, CDP, CADDCT, CST-P
• Leslie Marie Terrell, DO
• Wanda T Terrell, M.D.
• Christopher Dean Terrill, MD
• Jamie Carolina Terrill, DMD
• Kristen A. Terrill, MD
• Megan Elizabeth Terry Kelly, M.S.,CCC/A

• Electroneurodiagnostic Specialist/Technologist in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Electroneurodiagnostic Specialist/Technologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2020; 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.