Individual provider Active NPI

Brandy Michelle Story, NP

  • Nurse Practitioner
  • Johnson City, TN
National Provider Identifier
1093212516
Registry record updated Apr 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
24041 Issued in TN
Practice address
1321 Sunset Dr Ste 11
Johnson City, TN 37604-7902
Phone
(423) 928-6174
Fax
(423) 926-2258
NPI assigned
Apr 11, 2018
Last updated
Apr 11, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 24041 TN Primary

Addresses

Primary practice location

1321 Sunset Dr Ste 11
Johnson City, TN 37604-7902

Mailing address

1321 Sunset Dr Ste 11
Johnson City, TN 37604-7902
Phone (423) 928-6174

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
I20180618000650 TN Practitioner - Nurse Practitioner 2163777038 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
May accept Medicare assignment
Group practices
Tri State Mountain Neurology Associates PCGroup PAC ID 4587753892, 4 clinicians
Mountain Region Speech and Hearing CenterGroup PAC ID 8628003589, 17 clinicians

Practice addresses (Care Compare)

1321 Sunset Dr
Suite 11
Johnson City, TN 37604-7902
Phone (423) 928-6174

301 Louis St
Suite 101
Kingsport, TN 37660-5195
Phone (423) 246-4600

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
24041TNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tri State Mountain Neurology Associates PC CurrentSince Apr 2, 2018 Accepting new patients

Locations

1321 Sunset Dr
Ste 11
Johnson City, TN 37604
Phone (423) 928-6174

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1523404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523404800000",
    "number": "1093212516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1321 SUNSET DR STE 11",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376047902",
            "telephone_number": "423-928-6174",
            "fax_number": "423-926-2258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1321 SUNSET DR STE 11",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376047902",
            "telephone_number": "423-928-6174",
            "fax_number": "423-926-2258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STORY",
        "first_name": "BRANDY",
        "middle_name": "MICHELLE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-11",
        "last_updated": "2018-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "24041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnson City, TN

Sources for this page

Verify at the official NPI Registry.