DR. ILENE SH TERRELL DPM NPI 1346225257

NPI Information

NPI: 1346225257
Provider Name: DR. ILENE SH TERRELL, DPM
Classification: Podiatrist - 213E00000X
Entity Type: Individual
Address:
12010 KILARNEY DR
FREDERICKSBURG, VA
ZIP 22407
Phone: (540) 548-3668
Get Directions

DR. Ilene Sh Terrell, DPM is a podiatrist in Fredericksburg, VA. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. DR. Ilene Sh Terrell, DPM NPI is 1346225257. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

12010 KILARNEY DR
FREDERICKSBURG, VA
ZIP 22407
Phone: (540) 548-3668
Fax: (540) 548-0019

The enumeration date for this NPI number is 12/13/2005 and was last updated on 10/22/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213E00000X	Podiatrist		0103000702	VIRGINIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	5413632891	OTHER		COM HEALTH-OPTIMA HLTHPPO
2	528738	OTHER		ALLIANCE
3	09302417	MEDICAID	VIRGINIA
4	214528	OTHER		ANTHEM
5	5413633289	OTHER		GEHA
6	T21410	MEDICARE UPIN
7	528738	OTHER		MAMSI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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