Active NPI
Misty L. Dailey, RN, FNP
- Family Nurse Practitioner
- Lebanon, TN
National Provider Identifier
1013101807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 12863
- Practice address
- 927 East Baddour Parkway
Lebanon, TN 37087-3254 - Phone
- (615) 444-5325
- Fax
- (615) 443-6402
- NPI assigned
- Sep 5, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 129517 | TN | |
| Family Nurse Practitioner | 363LF0000X | 12863 | TN | Primary |
Addresses
Primary practice location
927 East Baddour Parkway
Lebanon, TN 37087-3254
Mailing address
927 E Baddour Pkwy
Lebanon, TN 37087-3254
Phone (615) 444-5325
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12863 | TN | MD | General Practice Dentistry |
| 129517 | TN | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1268870400000",
"number": "1013101807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "927 E BADDOUR PKWY",
"city": "LEBANON",
"state": "TN",
"postal_code": "370873254",
"telephone_number": "615-444-5325",
"fax_number": "615-443-6402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "927 EAST BADDOUR PARKWAY",
"city": "LEBANON",
"state": "TN",
"postal_code": "370873254",
"telephone_number": "615-444-5325",
"fax_number": "615-443-6402"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAILEY",
"first_name": "MISTY",
"middle_name": "L.",
"credential": "RN, FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-05",
"last_updated": "2010-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TN",
"license": "129517",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "12863",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lebanon, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.