MRS. TERRA BROOKE WADLEY APRN NPI 1578100384

NPI Information

NPI: 1578100384
Provider Name: MRS. TERRA BROOKE WADLEY, APRN
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Individual

Specialization: Gerontology

PECOS Registration: Yes

Address:
828 LANE ALLEN RD STE 219
LEXINGTON, KY
ZIP 40504
Phone: (443) 383-9300
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MRS. Terra Brooke Wadley, APRN is a gerontology nurse practitioner in Lexington, KY. MRS. Terra Brooke Wadley, APRN NPI is 1578100384. 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:

828 LANE ALLEN RD STE 219
LEXINGTON, KY
ZIP 40504-659
Phone: (443) 383-9300
Fax: (855) 866-8710

The NPI 1578100384 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/1/2019 and was last updated on 11/17/2022.

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	208VP0014X	Pain Medicine	Interventional Pain Medicine	3013345	KENTUCKY	No
2	363LA2200X	Nurse Practitioner	Adult Health	3013345	KENTUCKY	No
3	363LG0600X	Nurse Practitioner	Gerontology	3013345	KENTUCKY	Yes

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: 5/5/2024

NPI Synchronization or Removal

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