MR. TERRY ANTHONY WEBSTER JR. (NPI# 1811453814) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1811453814 |
Entity Type | Individual |
Full Name | MR. TERRY ANTHONY WEBSTER JR. |
Practice Address |
3710 Nuthatcher Dr Indianapolis IN 46228-1089 |
Mailing Address |
124 E Northfield Dr Ste F224 Brownsburg IN 46112-2600 |
Practice Telephone | 3176639104 |
Mailing Telephone | 3176391046 |
Enumeration Date | 2019-02-14 |
Last Update Date | 2019-02-14 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 373H00000X | Day Training/Habilitation Specialist | Nursing Service Related Providers |
Address | Telephone Number | Fax Number |
---|---|---|
5935 W 56th St, Indianapolis, IN 462541694 | 3173292726 |
Street Address |
3710 NUTHATCHER DR |
City | INDIANAPOLIS |
State | IN |
Zip Code | 46228-1089 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679039671 | T3 Impact Inc. | Counselor | 3710 Nuthatcher Dr, Indianapolis, IN 46228-1089 | 2019-02-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275797300 | Glendia Diane Butts | Occupational Therapist | 3644 West 48th Street, Indianapolis, IN 46228 | 2008-07-17 |
1073573465 | Michael W. Lane | Specialist | 5035 W. 71st St., Ste E, Indianapolis, IN 46228 | 2006-03-28 |
1730186628 | Marimelia Skovronsky | Ophthalmology | 1017 W 52nd St, Indianapolis, IN 46228 | 2005-07-07 |
1235200742 | Gental Hands Home Health | Home Health | 5960 Manning Rd, Indianapolis, IN 46228-1081 | 2006-11-13 |
1710170220 | Vetra Davis | Home Health | 5960 Manning Rd, Indianapolis, IN 46228-1081 | 2007-08-20 |
1962974097 | Donovan Pettiford | Private Vehicle | 6128 Morning Dove Dr, Indianapolis, IN 46228-1097 | 2018-12-31 |
1134217201 | Springfield Health Care Center, Inc | Skilled Nursing Facility | 6130 Michigan Rd, Indianapolis, IN 46228-1200 | 2006-10-11 |
1134767692 | Shannon Alford | Counselor | 6130 Michigan Rd, Indianapolis, IN 46228-1200 | 2019-12-16 |
1376063917 | Amanda Elizabeth Avant | Social Worker | 6130 Michigan Rd, Indianapolis, IN 46228-1200 | 2017-06-25 |
1982145686 | Jillian Beyke | Counselor | 6130 Michigan Rd, Indianapolis, IN 46228-1200 | 2017-03-14 |
Find all providers in zip 46228 |
Taxonomy Code | 373H00000X |
Grouping | Nursing Service Related Providers |
Classification | Day Training/Habilitation Specialist |
Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255976544 | Shenay Golden | Day Training/Habilitation Specialist | 9135 N Meridian St Ste B8, Indianapolis, IN 46260-1816 | 2019-11-11 |
1669031688 | Julia Phelps | Day Training/Habilitation Specialist | 1311 N Arlington Ave Ste 201, Indianapolis, IN 46219-3260 | 2019-06-12 |
1699240507 | Complete Tutoring & Mentoring LLC | Day Training/Habilitation Specialist | 8555 Cedar Place Dr Ste 112, Indianapolis, IN 46240-2344 | 2018-10-06 |
1275014789 | Charles Maurice Surrett | Day Training/Habilitation Specialist | 10608 Nassau St, Indianapolis, IN 46234-3183 | 2018-08-22 |
1851883102 | Kathy K Gates | Day Training/Habilitation Specialist | 1304 Mornington Dr, Indianapolis, IN 46239-8608 | 2018-06-02 |
1447658372 | Ike Boyd Jr. | Day Training/Habilitation Specialist | 1506 E 46th St, Indianapolis, IN 46205-2117 | 2014-12-09 |
1093067555 | Rachel D Taylor | Day Training/Habilitation Specialist | 6466 Bay Harbor Ln, Indianapolis, IN 46254-4514 | 2012-10-09 |
1700076098 | Michelle Lynn Conner | Day Training/Habilitation Specialist | 6144 Hanover Chase Ln, Indianapolis, IN 46239-1672 | 2007-08-01 |
1710018783 | Cassandra Elizabeth Crutchfield | Day Training/Habilitation Specialist | 8521 Sierra Ridge Dr, Apt. D, Indianapolis, IN 46239-8516 | 2007-03-08 |
1336753375 | Anthony Marshall | Day Training/Habilitation Specialist | 3033 W 39th St Apt 2014, Indianapolis, IN 46228-3154 | 2020-09-08 |
Find all providers in INDIANAPOLIS |
City | INDIANAPOLIS |
Zip Code | 46228 |
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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.