Individual provider Active NPI

Rina Marie Prosser, FNP-BC

  • Family Nurse Practitioner
  • Paris, TN
National Provider Identifier
1083617641
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN7205 Issued in TN
Practice address
201 N Brewer St
Paris, TN 38242-4027
Phone
(731) 415-3574
Fax
(731) 240-0232
NPI assigned
May 27, 2005
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X APN7205 TN
Family Nurse Practitioner 363LF0000X APN7205 TN Primary

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

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
I20050218000072 TN Practitioner - Nurse Practitioner 9537111448

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN7205TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Medicine, PLLC Past Accepting new patients
Professional Counseling Services of Tennessee PastSince Nov 12, 2023 Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1083617641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 N BREWER ST",
            "city": "PARIS",
            "state": "TN",
            "postal_code": "382424027",
            "telephone_number": "731-415-3574",
            "fax_number": "731-240-0232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 N BREWER ST",
            "city": "PARIS",
            "state": "TN",
            "postal_code": "382424027",
            "telephone_number": "731-415-3574",
            "fax_number": "731-240-0232"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "801 E Wood St",
            "address_purpose": "LOCATION",
            "city": "Paris",
            "state": "TN",
            "postal_code": "382424223",
            "country_code": "US",
            "telephone_number": "731-415-3574",
            "fax_number": "866-670-8568",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PROSSER",
        "first_name": "RINA",
        "middle_name": "MARIE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-27",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "TN",
            "license": "APN7205",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN7205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paris, TN

Sources for this page

Verify at the official NPI Registry.