Active NPI
Decca Singletary, FNP
- Family Nurse Practitioner
- Minnetonka, MN
National Provider Identifier
1174932230
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1-132901
- Practice address
- 9900 Bren Rd E
Minnetonka, MN 55343-9664 - Phone
- (334) 791-4808
- NPI assigned
- Aug 3, 2014
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 1-132901 | AL | |
| Family Nurse Practitioner | 363LF0000X | RN241413 | GA | |
| Family Nurse Practitioner | 363LF0000X | 1-132901 | AL | Primary |
Addresses
Primary practice location
9900 Bren Rd E
Minnetonka, MN 55343-9664
Mailing address
14112 Trouville Dr
Tampa, FL 33624-6960
Phone (334) 791-4808
Other practice location 1
9900 Bren Rd E
Minnetonka, MN 55343-9664
Phone (334) 791-4808
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AK, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 70.59 of 100
- Quality
- 83.37
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 16.65
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-132901 | AL | MD | Registered Nurse |
| RN241413 | GA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Camai Community Health Center, Inc. | Current | Accepting new patients | |
| Seldovia Village Tribe | Current | Accepting new patients | |
| H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer SCRN Ctr Inc | Current | Accepting new patients | |
| Bristol Bay Borough | Past | Accepting new patients | |
| Alaska Imaging Associates, LLC | Past | Accepting new patients |
Locations
880 East End Rd
Homer, AK 99603
Phone (907) 226-2228
12902 Usf Magnolia Dr
Tampa, FL 33612
Phone (813) 745-2720
Interoperability endpoints
- https://api.platform.athenahealth.com/20726/brand/1/csg/1/fhir/r4
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Naknek, AK
- NPI 1679718019
-
- Hematology & Oncology Physician
- Tampa, FL
- NPI 1306833595
-
- Diagnostic Radiology Physician
- Anchorage, AK
- NPI 1063466688
-
- Federally Qualified Health Center (FQHC)
- Naknek, AK
- NPI 1629105804
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605052800000",
"number": "1174932230",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14112 TROUVILLE DR",
"city": "TAMPA",
"state": "FL",
"postal_code": "336246960",
"telephone_number": "334-791-4808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9900 BREN RD E",
"city": "MINNETONKA",
"state": "MN",
"postal_code": "553439664",
"telephone_number": "334-791-4808"
}
],
"practiceLocations": [
{
"address_1": "9900 Bren Rd E",
"address_purpose": "LOCATION",
"city": "Minnetonka",
"state": "MN",
"postal_code": "553439664",
"country_code": "US",
"telephone_number": "334-791-4808",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SINGLETARY",
"first_name": "DECCA",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-08-03",
"last_updated": "2020-11-11",
"certification_date": "2020-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "AL",
"license": "1-132901",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN241413",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AL",
"license": "1-132901",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Minnetonka, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.