Individual provider Active NPI

Carmeshia Michelle Quinn, FNP

  • Family Nurse Practitioner
  • Scottsdale, AZ
National Provider Identifier
1235651498
Registry record updated Oct 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
901766 Issued in MS
Practice address
9201 E Mountain View Rd Ste 220
Scottsdale, AZ 85258-5172
Phone
(877) 564-3627
NPI assigned
Jul 10, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 901766 MS
Family Nurse Practitioner 363LF0000X 901766 MS Primary

Addresses

Primary practice location

9201 E Mountain View Rd Ste 220
Scottsdale, AZ 85258-5172

Mailing address

226 Hidden Hills Pkwy
Brandon, MS 39047-5136
Phone (601) 731-4067

Other practice location 1

Achieve Medical Weight Loss
4213 Lakeland Drive
Flowood, MS 39232
Phone (601) 420-2353

Other identifiers 1

IdentifierTypeStateIssuer
1235651498MedicaidMS

Other names 1

  • Carmeshia Michelle Quinn Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Brandon Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, LA, OH3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20181119002495 MS Practitioner - Nurse Practitioner 3577817006 Reassigns benefits to 2 organizations
I20220919001246 LA Practitioner - Nurse Practitioner 3577817006 Reassigns benefits to 2 organizations
I20260106001245 OH Practitioner - Nurse Practitioner 3577817006 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

226 Hidden Hills Pkwy
Brandon, MS 39047-5136

424 Church St
Nashville, TN 37219-2301

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
901766MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
E. M. Dimitri, D.O. PMC CurrentSince Sep 24, 2018 Accepting new patients
Signify Health, LLC CurrentSince Jan 6, 2022 Accepting new patients
Community Care Health Network LLC CurrentSince Apr 11, 2022 Accepting new patients
Monogram Health Professional Services PC Family Medicine CurrentSince Oct 1, 2022 Accepting new patients

Locations

9201 E Mountain View Rd
Ste 220
Scottsdale, AZ 85258
Phone (480) 862-1883

2900 Westfork Dr
Ste 401
Baton Rouge, LA 70827
Phone (225) 953-0895

300 Gateway Dr
Slidell, LA 70461
Phone (985) 643-4512

908 Municipal Dr
Brandon, MS 39042
Phone (601) 825-2150

232 Market St
Jackson, MS 39232
Phone (588) 498-6767

460 Briarwood Dr
Ste 400
Jackson, MS 39206
Phone (601) 203-1016

1312 22nd Ave
Ste A
Meridian, MS 39301
Phone (504) 465-4550

1690 Woodlands Dr
Ste 200
Maumee, OH 43537
Phone (419) 491-0420

5410 Maryland Way
Ste 301
Brentwood, TN 37027
Phone (615) 762-3845

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • Direct secure messaging: carmeshia.quinn.p1@direct.magnoliamedical.nextgenshare.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1499644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634688000000",
    "number": "1235651498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 HIDDEN HILLS PKWY",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390475136",
            "telephone_number": "601-731-4067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9201 E MOUNTAIN VIEW RD STE 220",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852585172",
            "telephone_number": "877-564-3627"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Achieve Medical Weight Loss",
            "address_2": "4213 Lakeland Drive",
            "address_purpose": "LOCATION",
            "city": "Flowood",
            "state": "MS",
            "postal_code": "39232",
            "country_code": "US",
            "telephone_number": "601-420-2353",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QUINN",
        "first_name": "CARMESHIA",
        "middle_name": "MICHELLE",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-10",
        "last_updated": "2021-10-20",
        "certification_date": "2021-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "901766",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "901766",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1235651498",
            "state": "MS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Brandon",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "9201 E Mountain View Rd",
            "city": "Scottsdale",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852585199",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CARMESHIA",
            "last_name": "QUINN",
            "middle_name": "MICHELLE",
            "credential": "CARMESHIA CAIN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.