MRS. TERRINA ROMELLE BRASHEAR FNP NPI 1922299072

NPI Information

NPI: 1922299072
Provider Name: MRS. TERRINA ROMELLE BRASHEAR, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
1015 W WASHBOURNE ST
JAY, OK
ZIP 74346
Phone: (918) 253-4271
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MRS. Terrina Romelle Brashear, FNP is a family nurse practitioner in Jay, OK with 17 years of experience. MRS. Terrina Romelle Brashear, FNP NPI is 1922299072. 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:

1015 W WASHBOURNE ST
JAY, OK
ZIP 74346-205
Phone: (918) 253-4271
Fax: (918) 253-2531

The NPI 1922299072 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 8/5/2007 and was last updated on 7/17/2013.

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	363LF0000X	Nurse Practitioner	Family	2000172822	MISSOURI	No
2	363LF0000X	Nurse Practitioner	Family	A03020 ANP	ARKANSAS	No
3	363LF0000X	Nurse Practitioner	Family	73174	OKLAHOMA	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
1	200127960A	MEDICAID	OKLAHOMA
2	166818758	MEDICAID	ARKANSAS
3	1922299072	MEDICAID	MISSOURI
4	5A586G180	MEDICARE PIN	ARKANSAS

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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