Telisha Nichole Prater, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

3018834 Issued in KY

Practice address

484 Tollage CRK
Pikeville, KY 41501-3305

Phone

(606) 230-2255

Fax

(606) 437-3001

NPI assigned

Dec 30, 2022

Last updated

Aug 1, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: telisha.prater.1@19494.direct.athenahealth.com

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.

• Compassion Services

  • Rural Health Clinic/Center
  • Pikeville, KY
  • NPI 1619642972
  NPD (past)

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

{
    "created_epoch": "1672358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690848000000",
    "number": "1205549631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "484 TOLLAGE CRK",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415013305",
            "telephone_number": "606-230-2255",
            "fax_number": "606-437-3001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "484 TOLLAGE CRK",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415013305",
            "telephone_number": "606-230-2255",
            "fax_number": "606-437-3001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "140 Adams Ln Ste 300",
            "address_purpose": "LOCATION",
            "city": "Pikeville",
            "state": "KY",
            "postal_code": "415013088",
            "country_code": "US",
            "telephone_number": "606-230-2255",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRATER",
        "first_name": "TELISHA",
        "middle_name": "NICHOLE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-30",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3018834",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100880810",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1205549631",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1205549631",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pikeville Spine, Sports & Joint Pain Center L.L.C,.
• James R Poliquin, M.D.
• Brit C Potter Jr., LAC
• Jeffery S Potter, DO
• Ashley Nicole Prater, APRN
• Premier Home Care, Inc (AeroCare Home Medical Supply)
• Priscillia R. Presley, BS
• Kristen Preston, PHARMD
• Ryan Anthony Preston
• Lacey Preuss

• Family Nurse Practitioner in Pikeville, KY
• Providers in Pikeville, KY by specialty
• Family Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.