Individual provider Active NPI

Tiffany A Terrill, APN

  • Obstetrics & Gynecology Nurse Practitioner
  • Tullahoma, TN
National Provider Identifier
1952564353
Registry record updated Dec 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
License
APN0000013162 Issued in TN
Practice address
1940 N Jackson St
Suite 150
Tullahoma, TN 37388-8254
Phone
(931) 461-1101
Fax
(931) 461-1283
NPI assigned
Jul 7, 2008
Last updated
Dec 19, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X APN0000013162 TN Primary

Addresses

Primary practice location

1940 N Jackson St
Suite 150
Tullahoma, TN 37388-8254

Mailing address

1940 N Jackson St
Suite 150
Tullahoma, TN 37388-8254
Phone (931) 461-1101

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20150310001405 TN Practitioner - Nurse Practitioner 1153647110 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN0000013162TNMDObstetrics & Gynecology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Theresa T Morrison MD PLLC CurrentSince Sep 1, 2025 Accepting new patients

Locations

108 Medical Center Blvd
Ste 100
Fayetteville, TN 37334
Phone (931) 433-1102

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1215388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418947200000",
    "number": "1952564353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1940 N JACKSON ST",
            "address_2": "SUITE 150",
            "city": "TULLAHOMA",
            "state": "TN",
            "postal_code": "373888254",
            "telephone_number": "931-461-1101",
            "fax_number": "931-461-1283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1940 N JACKSON ST",
            "address_2": "SUITE 150",
            "city": "TULLAHOMA",
            "state": "TN",
            "postal_code": "373888254",
            "telephone_number": "931-461-1101",
            "fax_number": "931-461-1283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERRILL",
        "first_name": "TIFFANY",
        "middle_name": "A",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-07",
        "last_updated": "2014-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "TN",
            "license": "APN0000013162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tullahoma, TN

Sources for this page

Verify at the official NPI Registry.