Active NPI
Rina Marie Prosser, FNP-BC
- Family Nurse Practitioner
- Paris, TN
National Provider Identifier
1083617641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APN7205
- 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, 2022
- 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 |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050218000072 | TN | Practitioner - Nurse Practitioner | 9537111448 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APN7205 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Behavioral Medicine, PLLC | Past | Accepting new patients | |
| Professional Counseling Services of Tennessee | Past | 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.
-
- Psychiatry Physician
- Paris, TN
- NPI 1366620643
-
- Professional Counselor
- Paris, TN
- NPI 1720119019
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
- Karen A Pratt, RN, APN
- Primrose Pediatric Therapy, LLC
- Lindley Woodard Primrose, OTR/L
- Professional Counseling & Medical Associates
- Professional Counseling Services of Tennessee
- Whitney Pugh, PA-C
- Lisa R Purdy, LPN
- Radiology & Imaging Associates Inc
- Ina Radtke, M.D. PH.D.
- Charles Daniel Rainbolt, DO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.