Provider Type Icon

TERRYE MASTIN APRNBC NPI 1730110693


NPI Information

NPI: 1730110693
Provider Name: TERRYE MASTIN, APRN,BC
Classification: Clinical Nurse Specialist - 364SA2200X
Entity Type: Individual

Specialization: Adult Health

Organization: MIDSOUTH INDEPENDENT GROUP PLLC

PECOS Registration: Yes

Address:
5625 POPLAR AVE
MEMPHIS, TN
ZIP 38119
Phone: (901) 761-1220
Get Directions

Terrye Mastin, APRN,BC is an adult health clinical nurse specialist in Memphis, TN with 37 years of experience. Terrye Mastin, APRN,BC NPI is 1730110693. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Graduation Year:1987

The provider's business location address is:

5625 POPLAR AVE
MEMPHIS, TN
ZIP 38119-816
Phone: (901) 761-1220
Fax: (901) 763-4332

The NPI 1730110693 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection of allergenic extracts into skin, accessed through the skin (HCPCS:95004)
  • Preparation and provision of single or multiple antigens for allergen immunotherapy (HCPCS:95165)
  • Removal of impact ear wax, one ear (HCPCS:69210)

The enumeration date for this NPI number is 7/6/2006 and was last updated on 2/14/2012.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207K00000XAllergy & ImmunologyAPN6208TENNESSEENo
2364SA2200XClinical Nurse SpecialistAdult HealthTN6208TENNESSEEYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1Q46724MEDICARE UPINTENNESSEE

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.