SHAUNTINA M TERRY (NPI# 1972748622) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972748622 |
| Entity Type | Individual |
| Full Name | SHAUNTINA M TERRY |
| Practice Address |
1316 Somerville Rd Se Suite 1 Decatur AL 35601-4305 |
| Mailing Address |
1315 13th Ave Se Decatur AL 35601-4308 |
| Practice Telephone | 2563556105 |
| Mailing Telephone | 2563556105 |
| Enumeration Date | 2008-12-10 |
| Last Update Date | 2008-12-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
1-119207 | AL | Nursing Service Providers |
| Street Address |
1316 SOMERVILLE RD SE SUITE 1 |
| City | DECATUR |
| State | AL |
| Zip Code | 35601-4305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851407704 | Stephanie W Teichmiller | Dentist | 1316 Somerville Rd Se, Suite 2, Decatur, AL 35601-4305 | 2006-08-22 |
| 1316326408 | Sarah Mckillop | Counselor | 1316 Somerville Rd Se, 1, Decatur, AL 35601-4305 | 2015-05-22 |
| 1811303506 | Janice Paige Vest | Counselor | 1316 Somerville Rd Se, Suite 1, Decatur, AL 35601-4305 | 2014-07-02 |
| 1144564956 | Elizabeth Diane Aldridge | Counselor | 1316 Somerville Rd Se, Suite 1, Decatur, AL 35601-4305 | 2012-11-16 |
| 1457597544 | Lucas Charles Snodgrass | Counselor | 1316 Somerville Rd Se, Suite 1, Decatur, AL 35601-4305 | 2008-12-19 |
| 1851536148 | Cynthia Joann Gibson | Case Manager/Care Coordinator | 1316 Somerville Rd Se, Suite 1, Decatur, AL 35601-4305 | 2008-12-16 |
| 1770782849 | Decatur Dermatology, PC | Dermatology | 1316 Somerville Rd Se, Suite 4, Decatur, AL 35601-4305 | 2007-07-17 |
| 1194851675 | James Steven Holsomback | Psychiatry & Neurology | 1316 Somerville Rd Se, Suite 1, Decatur, AL 35601-4305 | 2007-02-26 |
| 1750434684 | William Michael Nelson Jr. | Counselor | 1316 Somerville Rd Se, Suite 3, Decatur, AL 35601-4305 | 2007-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376000679 | Monica Dawn Ross | Counselor | 106 Lee St. Ne, Suite C, Decatur, AL 35601 | 2019-02-23 |
| 1063950319 | Samantha Elizabeth Pickett | Nurse Practitioner | 1115 Beltline Rd Se, Ste 400, Decatur, AL 35601 | 2017-02-07 |
| 1497208250 | Beronica Goodwin | Home Health Aide | 1102b Suite #2 4th Ave Se, Decatur, AL 35601 | 2016-07-28 |
| 1770957177 | Xochitl Dupre | Obstetrics & Gynecology | 1874 Beltline Road Sw, Suite 105, Decatur, AL 35601 | 2015-11-23 |
| 1104224708 | River City Psychiatry, Inc. | Community/Behavioral Health | 115 Johnston Street, Se, Suite 202, Decatur, AL 35601 | 2014-12-12 |
| 1760882690 | Derrick Aaron Randolph | Registered Nurse | 1207 7th St S.e., Decatur/morgan Hospital - Parkway Campus, Decatur, GA 35601 | 2014-08-28 |
| 1427465434 | Martha Read | Family Medicine | 2208 Danville Rd Sw Ste A, Decatur, AL 35601 | 2014-07-22 |
| 1205242948 | Pure Heart Home Care of Alabama, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 107 B 14th Street Sw, Decatur, AL 35601 | 2014-07-02 |
| 1720492242 | Christopher John Phillips | Emergency Medicine | 1201 7th Street Se, Decatur, AL 35601 | 2014-06-12 |
| 1366794711 | Complete Dental Decatur LLC | Dentist | 1241 Point Mallard Parkway, Suite. 105, Decatur, AL 35601 | 2012-10-10 |
| Find all providers in zip 35601 | ||||
| Taxonomy Code | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932496429 | Sarah Brooks | Registered Nurse | 235 E Ponce De Leon Ave Ste 225, Decatur, GA 30030-3488 | 2011-07-05 |
| 1780802660 | Diane Mckoy Cross | Registered Nurse | Dekalb Regional Crisis Center, 450 Winn Way, Decatur, GA 30030-1715 | 2007-04-23 |
| 1306469523 | Julie M Hankins | Registered Nurse | 4110 Us Highway 31 S, Decatur, AL 35603-1644 | 2020-05-21 |
| 1235795121 | Andrea Louise Howard-kennedy | Registered Nurse | 4110 Us Highway 31 S, Decatur, AL 35603-1644 | 2019-05-15 |
| 1568948339 | Natalya Thomas | Registered Nurse | 445 Winn Way, Decatur, GA 30030-1707 | 2018-07-16 |
| 1346604899 | Karen Cook | Registered Nurse | 445 Winn Way, Decatur, GA 30030-1707 | 2016-04-11 |
| 1306200852 | Victoria Benard | Registered Nurse | 445 Winn Way, Decatur, GA 30030-1707 | 2016-04-11 |
| 1306207618 | Kimberly Burkett | Registered Nurse | 1315 13th Ave Se, Decatur, AL 35601-4308 | 2016-03-14 |
| 1891172342 | Deidre Cagle | Registered Nurse | 4110 Us Highway 31 S, Decatur, AL 35603-1644 | 2015-05-05 |
| 1285031344 | Paige Blackwood | Registered Nurse | 4110 Highway 31 South, Decatur, AL 35603 | 2014-12-04 |
| Find all providers in DECATUR | ||||
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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.