Provider Demographics
NPI:1922307206
Name:TONEY, TERRY DENISE (NP)
Entity type:Individual
Prefix:MS
First Name:TERRY
Middle Name:DENISE
Last Name:TONEY
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:144 RESERVATION DR
Mailing Address - Street 2:
Mailing Address - City:SPINDALE
Mailing Address - State:NC
Mailing Address - Zip Code:28160-1500
Mailing Address - Country:US
Mailing Address - Phone:828-287-0200
Mailing Address - Fax:828-287-8755
Practice Address - Street 1:144 RESERVATION DR
Practice Address - Street 2:
Practice Address - City:SPINDALE
Practice Address - State:NC
Practice Address - Zip Code:28160-1500
Practice Address - Country:US
Practice Address - Phone:828-287-0200
Practice Address - Fax:828-287-8755
Is Sole Proprietor?:No
Enumeration Date:2011-03-25
Last Update Date:2025-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5005099207Q00000X, 363LF0000X, 363L00000X
NC158625363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1922307206Medicaid
NC7004962Medicaid
SCNP1829Medicaid
NCNC2361AOtherMEDICARE PTAN
SCNP1829Medicaid
NCNC2361DMedicare PIN
NC1922307206Medicaid
NCNC2361GMedicare PIN
NCNC2361AOtherMEDICARE PTAN
NC7004962Medicaid
NCNC2361EMedicare PIN