Individual provider Active NPI

Amy Christina Terry, NP

  • Nurse Practitioner
  • Campton, KY
National Provider Identifier
1922313451
Registry record updated Aug 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
6558P Issued in KY
Practice address
239 Mountain Parkway Spur
Campton, KY 41301-8988
Phone
(606) 668-6932
Fax
(606) 668-3125
NPI assigned
Aug 9, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 6558P KY Primary

Addresses

Primary practice location

239 Mountain Parkway Spur
Campton, KY 41301-8988

Mailing address

239 Mountain Parkway Spur
Campton, KY 41301-8988
Phone (606) 668-6932

Other names 1

  • Amy Rose Terry Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20110408000643 KY Practitioner - Nurse Practitioner 1052595451 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6558PKYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
United Clinics of Kentucky LLC CurrentSince Feb 25, 2011 Accepting new patients
United Clinics of Kentucky LLC CurrentSince Feb 25, 2011 Accepting new patients

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": "1281312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281312000000",
    "number": "1922313451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "239 MOUNTAIN PARKWAY SPUR",
            "city": "CAMPTON",
            "state": "KY",
            "postal_code": "413018988",
            "telephone_number": "606-668-6932",
            "fax_number": "606-668-3125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 MOUNTAIN PARKWAY SPUR",
            "city": "CAMPTON",
            "state": "KY",
            "postal_code": "413018988",
            "telephone_number": "606-668-6932",
            "fax_number": "606-668-3125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERRY",
        "first_name": "AMY",
        "middle_name": "CHRISTINA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-09",
        "last_updated": "2010-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "6558P",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "TERRY",
            "middle_name": "ROSE",
            "credential": "NP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Campton, KY

Sources for this page

Verify at the official NPI Registry.