MS. VIRGINIA RUTH TERRY (R.D.) – Registered Dietitian, NPI 1104924406

MS. VIRGINIA RUTH TERRY (R.D.) is a healthcare provider. based in Roseburg, Oregon. specializing in REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL. They hold the professional credentials R.D.. They hold a License No. 811605 (). The NPI Number for MS. VIRGINIA RUTH TERRY (R.D.) is 1104924406

Main info

Female
Sole Proprietor
35 Years Of Experience
Accepts Medicare Assignment
Name
MS. VIRGINIA RUTH TERRY (R.D.)
NPI
1104924406
Phone
(541) 440-1000
Address
913 NW GARDEN VALLEY BLVD
Enumeration Date
20 September 2006
Last Update Date
16 September 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5416729596
Graduation Year
1991 (35 years ago)
PAC ID
2365823366
Group Practice PAC ID
0345233078
Professional Enrollment ID
I20220722000496
Address ID
OR974701042RO150XXDRXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:19State licenses:1Digital endpointsOther names

154 REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL in OR

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Provider Addresses for MS. VIRGINIA RUTH TERRY (R.D.)

  • Roseburg VA Medical Center, 913, Northwest Garden Valley Boulevard, Roseburg, Douglas County, Oregon, 97471, United States

    MAIL CODE: 140

    ROSEBURG, OR 974706523

    Phone: (541) 440-1000

    Fax: (541) 440-1367

    Type: Location

  • 1866, Northeast Klamath Avenue, Roseburg, Douglas County, Oregon, 97470, United States

    ROSEBURG, OR 974703554

    Phone: (541) 784-5966

    Type: Mailing

  • 1813 W HARVARD AVE

    STE 427

    ROSEBURG, OR 974718712

    Phone: (541) 784-5966

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-07-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220722000496IRegistered Dietitian Or Nutrition ProfessionalORTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97470)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0345233078View full group profile

Reviews

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Frequently asked questions

Can I cross-check MS. VIRGINIA RUTH TERRY (R.D.) using NPI 1104924406?
NPI 1104924406 belongs to MS. VIRGINIA RUTH TERRY (R.D.); compare other details if you need extra assurance.
Is MS. VIRGINIA RUTH TERRY (R.D.) still an active registrant?
MS. VIRGINIA RUTH TERRY (R.D.) carries an active NPI according to the public dataset.
What area of care is associated with MS. VIRGINIA RUTH TERRY (R.D.)?
MS. VIRGINIA RUTH TERRY (R.D.)'s record emphasizes Registered Dietitian. Clinical services aligned with this taxonomy classification.
Is MS. VIRGINIA RUTH TERRY (R.D.) located near Roseburg?
MS. VIRGINIA RUTH TERRY (R.D.) currently maps to Roseburg, Oregon in this extract.
What does 3 location(s) imply?
3 practice locations appear in the available data.

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