Karen L Terry

Primary specialty

Prevention ProfessionalTaxonomy code 405300000X

License

230914842 Issued in MD

Practice address

6249 Kenwood Ave Ste B
Rosedale, MD 21237-2065

Phone

(667) 320-9777

NPI assigned

Feb 9, 2024

Last updated

Feb 9, 2024By the provider in NPPES

Sex

Female

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

State licenses

Practice roles

Locations

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.

• Triple Wellness LLC

  • Community/Behavioral Health Agency
  • Rosedale, MD
  • NPI 1942064993
  NPD Authorized official
• Triple Wellness, LLC

  • Community/Behavioral Health Agency
  • Rosedale, MD
  • NPI 1164165395
  NPD

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

{
    "created_epoch": "1707436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707436800000",
    "number": "1912761958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1193",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211171123",
            "telephone_number": "667-320-9777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6249 KENWOOD AVE STE B",
            "city": "ROSEDALE",
            "state": "MD",
            "postal_code": "212372065",
            "telephone_number": "667-320-9777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERRY",
        "first_name": "KAREN",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-09",
        "last_updated": "2024-02-09",
        "certification_date": "2024-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "405300000X",
            "taxonomy_group": "",
            "desc": "Prevention Professional",
            "state": "MD",
            "license": "230914842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Prevention Professional in Rosedale, MD
• Providers in Rosedale, MD by specialty
• Prevention Professional in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2024; 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.