John Robert Terranova, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LP60909291 Issued in WA

Practice address

1116 Summit Ave
Seattle, WA 98101-2831

Phone

(202) 206-3230

NPI assigned

Jan 28, 2019

Reactivated

Jul 8, 2021

Sex

Male

Sole proprietor

Yes

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

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.

• Therapeutic Health Services

  • Methadone Clinic
  • Shoreline, WA
  • NPI 1144312877
  NPD (past)

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

{
    "created_epoch": "1548633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625702400000",
    "number": "1972067601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 1ST AVE APT 1003",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981012139",
            "telephone_number": "401-447-0775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1116 SUMMIT AVE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981012831",
            "telephone_number": "202-206-3230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERRANOVA",
        "first_name": "JOHN",
        "middle_name": "ROBERT",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-01-28",
        "last_updated": "2021-07-08",
        "certification_date": "2021-07-08",
        "deactivation_date": "2021-06-17",
        "reactivation_date": "2021-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "WA",
            "license": "LP60909291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anastacia Marie Ternasky
• Terra Dusa, PLLC
• Terra Therapy P.C.
• Cary Terra, LMFT
• Alec Terrana
• Terrapin Technologies, Inc
• Desiree Barbara Terrell
• Francine Elizabeth Terrell, ARNP
• Douglas Terrone, PT, DPT, ATC
• Lindsey Terronez

• Licensed Practical Nurse in Seattle, WA
• Providers in Seattle, WA by specialty
• Licensed Practical Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2021; 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.