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Deactivated NPI 1891979811 Deactivated / Inactive NPI Female Practitioner

Terry Lynn Blackwood , RN

Case Manager/Care Coordinator • Waller, TX

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Terry Blackwood has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 27, 2007
NPI Deactivation Date August 07, 2019
Total Practice Duration ~12 Years of Practice (2007 – 2019)

Professional Overview & Biography Verified Profile Summary

Terry Blackwood, RN was a registered Case Manager/Care Coordinator practicing in Waller, TX. Throughout an active medical career spanning 12 years, Terry Blackwood provided care at the practice location at 30443 BETKA RD until profile deactivation on 2019-08-07.

Practice Location & Contact Primary Location

Practice Address

30443 Betka Rd

Waller, TX 774844952

Telephone 9363729007
Fax 9363723003
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Case Manager/Care Coordinator in Waller, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 7.0 Yrs
Regional Practice Density
3 Specialists

Practicing in Waller, TX (2215 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Case Manager/Care Coordinator Primary Specialty

NUCC Taxonomy Code: 171M00000X

State License TX 671212

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Janet Lemelle

Case Manager/Care Coordinator

NPI 1053509240

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated August 07, 2019

Record deactivated on August 07, 2019

NPI Profile Active January 29, 2008

NPI status registered as active in NPPES database

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Updated Practice Location January 29, 2008

Registered at 30443 BETKA RD, WALLER, TX 774844952 (Tel: 9363729007)

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Updated Business Mailing Address January 29, 2008

Registered at 30443 BETKA RD, WALLER, TX 774844952 (Tel: 9363729007)

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Provider Name / Credentials Updated January 29, 2008

Recorded as TERRY BLACKWOOD, R.N.

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 29, 2008

Case Manager/Care Coordinator (License #671212 in TX)

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Initial NPI Registration & Enumeration December 27, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1891979811
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 27, 2007
Last Update: January 29, 2008
Deactivation Date: August 07, 2019

Mailing Address

30443 Betka Rd

Waller, TX 774844952

Phone: 9363729007

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.