Active NPI
Michelle Lynn Story, APRN
- Family Medicine Physician
- Jasper, TN
National Provider Identifier
1083179246
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 25465
- Practice address
- 980 Highway 28 Ste 100
Jasper, TN 37347-3696 - Phone
- (423) 939-1500
- NPI assigned
- Feb 1, 2019
- Last updated
- Apr 4, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 25465 | TN | Primary |
Addresses
Primary practice location
980 Highway 28 Ste 100
Jasper, TN 37347-3696
Mailing address
980 Highway 28
Ste 100
Jasper, TN 37347-3696
Phone (423) 939-1500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000 | Other | DO NOT HAVE |
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554336000000",
"number": "1083179246",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "980 HIGHWAY 28",
"address_2": "STE 100",
"city": "JASPER",
"state": "TN",
"postal_code": "373473696",
"telephone_number": "423-939-1500",
"fax_number": "423-510-9541"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "980 HIGHWAY 28 STE 100",
"city": "JASPER",
"state": "TN",
"postal_code": "373473696",
"telephone_number": "423-939-1500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STORY",
"first_name": "MICHELLE",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-01",
"last_updated": "2019-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TN",
"license": "25465",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DO NOT HAVE",
"identifier": "000000",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Jasper, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.