Connie Joellen Terrell, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

19177 Issued in TN

Practice address

2000 Stein Dr
Chattanooga, TN 37421-1690

Phone

(423) 648-8480

Fax

(423) 648-8481

NPI assigned

Oct 1, 2014

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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TN

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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 and National Provider Directory roles.

• Chattanooga Family and Sports Medical Center, PLLC

  • Nutrition Chiropractor
  • Chattanooga, TN
  • NPI 1265687917
  Medicare reassignment NPD
• Consultants in Pain Management, PC

  • Pain Medicine Physician
  • Chattanooga, TN
  • NPI 1275607129

  Family

  Medicare reassignment NPD
• Consultants in Pain Management, PC

  • Durable Medical Equipment & Medical Supplies
  • Athens, TN
  • NPI 1659072791
  NPD
• Jeff Hall Inc

  • Nutrition Chiropractor
  • Cleveland, TN
  • NPI 1861430753
  NPD (past)

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

{
    "created_epoch": "1412121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653955200000",
    "number": "1932502218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 STEIN DR",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374211690",
            "telephone_number": "423-867-4969",
            "fax_number": "423-648-8481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 STEIN DR",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374211690",
            "telephone_number": "423-648-8480",
            "fax_number": "423-648-8481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERRELL",
        "first_name": "CONNIE",
        "middle_name": "JOELLEN",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-01",
        "last_updated": "2022-05-31",
        "certification_date": "2022-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "19177",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TENNESSEE",
            "identifier": "6031898",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q010303",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Reena Jay Tenorio, PT, DPT
• William Setliffe Teppenpaw Jr., DDS
• Karis Terpstra, APRN
• Terrace at Mountain Creek
• Blaire Chandler Terrell
• Dornise Lashun Terrell
• Terri L. Rieth, PHD
• Terry W. Smith M.D., P.C.
• Terry W. Smith, M.D., P.C.
• Eric Aldon Terry Sr.

• Family Nurse Practitioner in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.