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Active NPI 1639699861 Individual Practitioner Female Practitioner

Dr. Terra Wilde , DNP

Nurse Practitioner • Everett, WA

Professional Overview & Biography Verified Profile Summary

Dr. Terra Wilde, DNP is a registered healthcare professional specializing in Nurse Practitioner in Everett, WA. Practice services are available at 1814 105TH ST SE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1814 105th St Se

Everett, WA 982084816

Telephone 4252253425
Associated Practice Facility / Clinic
🏢 Optum Care Washington Pllc Facility NPI 1154318103

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Everett, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.9 Yrs
State Avg: 11.0 Yrs
Regional Practice Density
120 Specialists

Practicing in Everett, WA (2339 Statewide)

Telehealth Adoption Rate
20.8% 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

CMS Verified: 2022-08-30
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License WA AP60765620

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
2081564 (WA)

Secondary Practice Locations

15418 Main St

Mill Creek, WA 980129030

Phone: 4252258000

Practice Associates & Co-Workers

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

5 Associated Practitioners
NPI 1104942374

Doctor of Philosophy (Ph.D.)

Ralph Quillman , ACSW

Social Worker - Clinical

NPI 1124191101

Academy of Certified Social Workers

Christopher Richards , MSW

Social Worker - Clinical

NPI 1346457173

Master of Social Work

Margaret (Peggy) Hurd , MS

Marriage & Family Therapist

NPI 1679613897

Master of Science

James Tufts , LICSW

Counselor - Mental Health

NPI 1760505150

Licensed Independent Clinical Social Worker

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location September 02, 2022

Registered at 1814 105TH ST SE, EVERETT, WA 982084816 (Tel: 4252253425)

👤
Provider Name / Credentials Updated September 02, 2022

Recorded as TERRA WILDE, DNP

NPI Profile Active June 30, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location June 30, 2017

Registered at 15418 MAIN ST, MILL CREEK, WA 980129030 (Tel: 4252258000)

📍
Updated Business Mailing Address June 30, 2017

Registered at PO BOX 5127, EVERETT, WA 982065127 (Tel: 4253395453)

👤
Provider Name / Credentials Updated June 30, 2017

Recorded as TERRA HOLLOWAY, DNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 30, 2017

Nurse Practitioner (License #AP60765620 in WA)

🟢
Initial NPI Registration & Enumeration June 20, 2017

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: 1639699861
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 20, 2017
Last Update: September 02, 2022
Sole Proprietor: Yes

Mailing Address

Po Box 5127

Everett, WA 982065127

Phone: 4253395453

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.