Shauntina M Terry

Primary specialty

Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X

License

1-119207 Issued in AL

Practice address

1316 Somerville Rd SE
Suite 1
Decatur, AL 35601-4305

Phone

(256) 355-6105

NPI assigned

Dec 10, 2008

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

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.

• Mental Health Center of North Central Alabama Inc.

  • Community/Behavioral Health Agency
  • Decatur, AL
  • NPI 1124193636
  NPD (past)

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

{
    "created_epoch": "1228867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228867200000",
    "number": "1972748622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 13TH AVE SE",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356014308",
            "telephone_number": "256-355-6105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1316 SOMERVILLE RD SE",
            "address_2": "SUITE 1",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356014305",
            "telephone_number": "256-355-6105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERRY",
        "first_name": "SHAUNTINA",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-10",
        "last_updated": "2008-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "AL",
            "license": "1-119207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen D Telley, BA
• Terry Family Dentistry LLC
• Autumn S Terry, MSW
• Hannah Smith Terry, PHARM. D.
• Jada N Terry, RN
• Shaylor Alexis Terry, RBT
• Spencer Ryan Terry, DMD
• The Ark Pediatric Therapy Services
• The Enrichment Center, Inc
• The May-Dann Group

• Psychiatric/Mental Health Registered Nurse in Decatur, AL
• Providers in Decatur, AL by specialty
• Psychiatric/Mental Health Registered Nurse in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.