MATTHEW LEE TERRY (NPI# 1619537834) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619537834 |
| Entity Type | Individual |
| Full Name | MATTHEW LEE TERRY |
| Credential | APRN-CNP |
| Practice Address |
365 Courthouse Rd Princeton WV 24740-2431 |
| Practice Telephone | 3044253922 |
| Practice Fax Number | 3044870229 |
| Mailing Telephone | 3044253922 |
| Mailing Fax Number | 3044870229 |
| Enumeration Date | 2019-06-19 |
| Last Update Date | 2019-06-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 103773 | WV | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | LICENSE | 103773 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023438363 | Matthew Terry | Counselor | 1000 E 4th Ave, Anchorage, AK 99501-2716 | 2014-04-25 |
| Street Address |
365 COURTHOUSE RD |
| City | PRINCETON |
| State | WV |
| Zip Code | 24740-2431 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699082974 | Melissa Ann Hurst | Family Medicine | 365 Courthouse Rd, Princeton, WV 24740-2431 | 2010-09-08 |
| 1932722485 | Revonda Wills | Nurse Practitioner | 365 Courthouse Rd, Princeton, WV 24740-2431 | 2020-05-19 |
| 1003237819 | Laboratory Corporation of America | Clinical Medical Laboratory | 365 Courthouse Rd, Princeton, WV 24740-2431 | 2013-12-20 |
| 1730512377 | Danny Houston Dunbar Jr. | Physician Assistant | 365 Courthouse Rd, Princeton, WV 24740-2431 | 2013-08-19 |
| 1750713269 | Mary Ann Lester | Physician Assistant | 365 Courthouse Rd, Princeton, WV 24740-2431 | 2013-08-07 |
| 1245461656 | William Joseph Goode | Physician Assistant | 365 Courthouse Rd, Princeton, WV 24740-2431 | 2009-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427658632 | New Beginnings Therapy Services, LLC | Community/Behavioral Health | 616 Harrison Street, Princeton, WV 24740 | 2020-10-27 |
| 1215536222 | Right At Home | Home Health | 313 Locus St, Princeton, WV 24740 | 2020-10-21 |
| 1881208098 | Robin Lane | Technician | 174 Tea Kettle Road, Princeton, WV 24740 | 2020-09-04 |
| 1134739824 | Nona Arthur | Technician | 708 Bluefiled Ave, Princeton, WV 24740 | 2020-08-06 |
| 1851909014 | Tina B Altizer | Speech-Language Pathologist | 120 12th Street, Princeton, WV 24740 | 2020-07-14 |
| 1245712504 | Tracy Jean Mitchell | Speech-Language Pathologist | 1200 Mercer St, Princeton, WV 24740 | 2018-09-04 |
| 1700305240 | Tina Six | Registered Nurse | 1403 Honaker Avenue, Princeton, WV 24740 | 2017-09-15 |
| 1013449172 | Karin Cappa | Pharmacist | 669 Cornfield Rd, Princeton, WV 24740 | 2017-03-29 |
| 1942661723 | Virginia Chryssikos | Social Worker | 3016 E Cumberland Road, Bluestone Family Practice, Bluefield, WV 24740 | 2016-03-08 |
| 1477939460 | Kathy Diane Wyrick | Counselor | 220 South Walker Street, Princeton, WV 24740 | 2015-08-03 |
| Find all providers in zip 24740 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427500461 | Mary Sue Curry | Nurse Practitioner | 617 Mercer St, Princeton, WV 24740-3111 | 2016-10-25 |
| 1720444615 | Jacqui Lynn Hill | Nurse Practitioner | 143 Undercliff Ter, Inas Alattar - Pediatrics, Princeton, WV 24740-2175 | 2016-01-07 |
| 1073950382 | Stefanie Nicosia | Nurse Practitioner | 731 Alexander Rd Ste 202, Princeton, NJ 08540-6345 | 2013-05-28 |
| 1639353741 | Princeton Family Care, Pllc | Nurse Practitioner | 323 C South Jefferson St, Princeton, KY 42445 | 2007-12-26 |
| 1205927084 | James John Martineau | Nurse Practitioner | 1100 7th Ave S, Express Clinic, Princeton, MN 55371-4555 | 2006-09-27 |
| 1578528253 | David Kevin Gray | Nurse Practitioner | 407 12th Street Ext, Princeton, WV 24740-2300 | 2006-04-18 |
| 1447862958 | Deaconess Clinic, Inc | Nurse Practitioner | 1808 Sherman Dr, Princeton, IN 47670-1043 | 2020-08-18 |
| 1982216495 | Deaconess Clinic, Inc | Nurse Practitioner | 1808 Sherman Dr, Princeton, IN 47670-1043 | 2020-08-18 |
| 1790397206 | Deaconess Clinic, Inc | Nurse Practitioner | 312 3rd Ave, Princeton, IN 47670-1014 | 2020-08-18 |
| 1154939064 | Kevin Liebmann | Nurse Practitioner | 208 Bunn Dr, Princeton, NJ 08540-2851 | 2020-07-16 |
| Find all providers in PRINCETON | ||||
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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.