KOURTNEY MARIE TERRY (NPI# 1578162459) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578162459 |
| Entity Type | Individual |
| Full Name | KOURTNEY MARIE TERRY |
| Credential | NP-C |
| Practice Address |
128 Miner Rd Avilla IN 46710-9690 |
| Practice Telephone | 2602260388 |
| Mailing Telephone | 2602260388 |
| Enumeration Date | 2020-10-21 |
| Last Update Date | 2020-10-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
F10201135 | IN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
128 MINER RD |
| City | AVILLA |
| State | IN |
| Zip Code | 46710-9690 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679749568 | Ronda L Lehn | Nurse Practitioner | 104 Nicholas Place, Box 859, Avilla, IN 46710 | 2008-05-01 |
| 1720277601 | Donna Hackman | Nurse Practitioner | 104 Nicholas Place, Avilla, IN 46710 | 2007-10-17 |
| 1316184476 | Parkview Health System, Inc. | Durable Medical Equipment & Medical Supplies | 104 Nicholas Place, Avilla, IN 46710-0050 | 2009-01-12 |
| 1376538819 | Phillip W. Corbin | Family Medicine | 104 Nicholas Pl, Avilla, IN 46710-0069 | 2005-09-12 |
| 1275063380 | Chantell M Spohr | Registered Nurse | 104 Nicholas Pl, Avilla, IN 46710-0069 | 2017-06-13 |
| 1174730071 | Mycal L Mansfield | Family Medicine | 104 Nicholas Pl, Avilla, IN 46710-0069 | 2007-05-17 |
| 1205821659 | Gerald G. Warrener | Family Medicine | 104 Nicholas Pl, Avilla, IN 46710-0069 | 2005-09-13 |
| 1649265828 | James D. Chandler | Family Medicine | 125 Baum Street, Avilla, IN 46710-0170 | 2005-09-14 |
| 1699760819 | Lisa A. Lane | Family Medicine | 125 Baum Street, Avilla, IN 46710-0698 | 2005-09-14 |
| 1649802570 | Sierra Rose Eytalis-mains | Student in an Organized Health Care Education/Training Program | 105 W Albion St, Avilla, IN 46710-2002 | 2020-02-09 |
| Find all providers in zip 46710 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386244176 | Mallory Lee Anslow | Nurse Practitioner | 10641 Deercrest Ln, Indianapolis, IN 46239-9690 | 2020-10-29 |
| 1285234237 | Vb Medical Group LLC | Nurse Practitioner | 10047 Whispering Wind Dr, Greenville, IN 47124-9704 | 2020-10-29 |
| 1518566397 | Stacey Renee Pulver | Nurse Practitioner | 13134 Hollow Oak Rd, Fort Wayne, IN 46845-2327 | 2020-10-22 |
| 1780283630 | Dana L Yergler | Nurse Practitioner | 16632 Linfield Ct, Granger, IN 46530-7012 | 2020-10-21 |
| 1730788720 | Camille Mae Carl | Nurse Practitioner | 6441 Anna Louise Dr, Charlestown, IN 47111-8797 | 2020-10-20 |
| 1124626585 | Dustin Mikesell | Nurse Practitioner | 1000 E Main St Ste 104, Danville, IN 46122-1948 | 2020-10-16 |
| 1144828799 | Mina Desai-patel | Nurse Practitioner | 14698 Drayton Dr, Noblesville, IN 46062-8230 | 2020-10-15 |
| 1649878554 | Heather Ormiston-leclear | Nurse Practitioner | 3800 N Anthony Blvd # Cc1335, Fort Wayne, IN 46805-1430 | 2020-10-13 |
| 1023616125 | Kimberly Dawn Calloway | Nurse Practitioner | 5306 E Blocher Rd, Lexington, IN 47138-8803 | 2020-10-12 |
| 1992302517 | Renee Lynnette Hylkema | Nurse Practitioner | 402 Skyview Dr, Middlebury, IN 46540-9567 | 2020-10-06 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.