Terrence Licciardi III, RPA

Primary specialty

Radiography Radiologic TechnologistTaxonomy code 2471C3402X

License

06481 Issued in MA

Practice address

23 Stiles Rd
Salem, NH 03079-2859

Phone

(603) 898-3129

NPI assigned

Jun 27, 2007

Last updated

Sep 29, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222646400000",
    "number": "1932306735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 14TH AVE",
            "city": "HAVERHILL",
            "state": "MA",
            "postal_code": "018303232",
            "telephone_number": "978-521-0998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 STILES RD",
            "city": "SALEM",
            "state": "NH",
            "postal_code": "030792859",
            "telephone_number": "603-898-3129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LICCIARDI",
        "first_name": "TERRENCE",
        "name_suffix": "III",
        "credential": "RPA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-27",
        "last_updated": "2008-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2471C3402X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Radiography",
            "state": "MA",
            "license": "06481",
            "primary": true
        },
        {
            "code": "243U00000X",
            "taxonomy_group": "",
            "desc": "Radiology Practitioner Assistant",
            "state": "MA",
            "license": "06481",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssa L Leuchte, RD, LDN, CLC
• Jessica Lewis, 3056M
• Lisa Lewton
• Dianne Libby, RPH
• Emily Faith Libby, M.ED., BCBA, LABA
• Jennifer Eleanor Lidwin, DPT
• Elias Ying-Ming Lie, PHARM.D
• Felicity Liebke Liebke, CCC-SLP
• Lifeline Medical Staffing
• Light Point Labs LLC

• Radiography Radiologic Technologist in Salem, NH
• Providers in Salem, NH by specialty
• Radiography Radiologic Technologist in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2008; 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.