Individual provider Active NPI

Mousa K Naseri, FNP

  • Family Nurse Practitioner
  • Limestone, TN
National Provider Identifier
1043375827
Registry record updated Oct 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN6456 Issued in TN
Practice address
533 Big Limestone Rd
Limestone, TN 37681-2537
Phone
(423) 257-8382
Fax
(423) 257-8380
NPI assigned
Dec 22, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN6456 TN Primary

Addresses

Primary practice location

533 Big Limestone Rd
Limestone, TN 37681-2537

Mailing address

533 Big Limestone Rd
Limestone, TN 37681-2537
Phone (423) 257-8382

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050329000849 TN Practitioner - Nurse Practitioner 6103872122 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

533 Big Limestone Rd
Limestone, TN 37681-2537

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APN6456TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jonesborough Medical PLLC CurrentSince Jan 1, 2005 Accepting new patients
Limestone Medical Care LLC CurrentSince Sep 20, 2013 Accepting new patients
Jonesborough Drug PastSince Jan 1, 2005 Accepting new patients
Jonesborough Medical Center Past Accepting new patients

Locations

1003 E Jackson Blvd
Ste 3
Jonesborough, TN 37659
Phone (423) 753-6077

1003 E Jackson Blvd
Jonesborough, TN 37659
Phone (423) 753-5571

533 Big Limestone Rd
Limestone, TN 37681
Phone (423) 257-8282

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381795200000",
    "number": "1043375827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "533 BIG LIMESTONE RD",
            "city": "LIMESTONE",
            "state": "TN",
            "postal_code": "376812537",
            "telephone_number": "423-257-8382",
            "fax_number": "423-257-8380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "533 BIG LIMESTONE RD",
            "city": "LIMESTONE",
            "state": "TN",
            "postal_code": "376812537",
            "telephone_number": "423-257-8382",
            "fax_number": "423-257-8380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NASERI",
        "first_name": "MOUSA",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-22",
        "last_updated": "2013-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN6456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Limestone, TN

Sources for this page

Verify at the official NPI Registry.