Individual provider Active NPI

Heather June Teribury, NP

  • Family Nurse Practitioner
  • Marathon, NY
National Provider Identifier
1902669013
Registry record updated Feb 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
351945 Issued in NY
Practice address
20 East Main Street
Marathon, NY 13803-1380
Phone
(607) 849-3271
NPI assigned
Feb 1, 2024
Last updated
Feb 1, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 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 351945 NY Primary

Addresses

Primary practice location

20 East Main Street
Marathon, NY 13803-1380

Mailing address

85 S West St
Homer, NY 13077-1542
Phone (607) 753-3797

Other practice location 1

4038 West Rd
Cortland, NY 13045-1149
Phone (607) 849-3271

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Homer Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20240227002521 NY Practitioner - Nurse Practitioner 8729423082 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
State University of Ny Upstate Medical University, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4038 W Rd
Cortland, NY 13045-1842
Phone (607) 758-3008

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
351945NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Family Health Network of Central New York, Inc. CurrentSince Apr 1, 2024 Accepting new patients
Family Health Network of Central New York, Inc. CurrentSince Apr 1, 2024 Accepting new patients

Locations

4038 West Rd
Cortland, NY 13045
Phone (607) 758-3008

3 Technology Pl
Homer, NY 13077
Phone (607) 753-3774

85 S West St
Homer, NY 13077
Phone (607) 753-3797

Interoperability endpoints

  • Direct secure messaging: heather.teribury.1@28343.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1706745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706745600000",
    "number": "1902669013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 S WEST ST",
            "city": "HOMER",
            "state": "NY",
            "postal_code": "130771542",
            "telephone_number": "607-753-3797",
            "fax_number": "607-753-6677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 EAST MAIN STREET",
            "city": "MARATHON",
            "state": "NY",
            "postal_code": "138031380",
            "telephone_number": "607-849-3271"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4038 West Rd",
            "address_purpose": "LOCATION",
            "city": "Cortland",
            "state": "NY",
            "postal_code": "130451149",
            "country_code": "US",
            "telephone_number": "607-849-3271",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TERIBURY",
        "first_name": "HEATHER",
        "middle_name": "JUNE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-01",
        "last_updated": "2024-02-01",
        "certification_date": "2024-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "351945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Homer",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "20 East Main Street",
            "city": "Marathon",
            "state": "NY",
            "country_code": "US",
            "postal_code": "138031380",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Marathon, NY

Sources for this page

Verify at the official NPI Registry.