Rina Marie Prosser, FNP-BC
Individual provider Active NPI Family Nurse Practitioner · Paris, TN
NPI 1083617641 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1083617641
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- APN7205 (TN)
- Practice address
- 201 N Brewer St
Paris, TN 38242-4027 - Phone
- (731) 415-3574
- Fax
- (731) 240-0232
- NPI assigned
- May 27, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050218000072 | TN | Practitioner - Nurse Practitioner | 9537111448 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APN7205 | TN | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Behavioral Medicine, PLLC | Past | Accepting new patients | |
| Professional Counseling Services of Tennessee | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | APN7205 | TN | |
| Family Nurse Practitioner | 363LF0000X | APN7205 | TN | Yes |
Addresses
Primary practice location
201 N Brewer St
Paris, TN 38242-4027
Mailing address
201 N Brewer St
Paris, TN 38242-4027
Phone (731) 415-3574
Other practice location 1
801 E Wood St
Paris, TN 38242-4223
Phone (731) 415-3574
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q026850 | Medicaid | TN | |
| Q001330 | Medicaid | TN |
Other providers in Paris, TN
- Karen A Pratt
- Primrose Pediatric Therapy, LLC
- Lindley Woodard Primrose
- Professional Counseling & Medical Associates
- Professional Counseling Services of Tennessee
- Whitney Pugh
- Lisa R Purdy
- Radiology & Imaging Associates Inc
- Ina Radtke
- Charles Daniel Rainbolt
All providers in Paris, TN · Family Nurse Practitioner in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.