Provider Demographics
NPI:1730971235
Name:ALSUM, TERMERA A
Entity type:Individual
Prefix:MRS
First Name:TERMERA
Middle Name:A
Last Name:ALSUM
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:TERMERA
Other - Middle Name:A
Other - Last Name:CALHOUN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8020 YARMOUTH WAY
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46239-8024
Mailing Address - Country:US
Mailing Address - Phone:317-550-5229
Mailing Address - Fax:
Practice Address - Street 1:8020 YARMOUTH WAY
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46239-8024
Practice Address - Country:US
Practice Address - Phone:317-550-5229
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-20
Last Update Date:2025-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
25-018788-1343800000X, 343900000X
IN25-018788-1347B00000X, 374U00000X, 251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome Health
No343800000XTransportation ServicesSecured Medical Transport (VAN)
No347B00000XTransportation ServicesBus
No374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)