Individual provider Active NPI

Malinda Kaye Munsey, APRN

  • Nurse Practitioner
  • Harrogate, TN
National Provider Identifier
1235700832
Registry record updated Nov 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
29762 Issued in TN
Practice address
6650 Cumberland Gap Pkwy
Harrogate, TN 37752-8012
Phone
(423) 441-8011
Fax
(423) 441-8014
NPI assigned
Jul 5, 2021
Last updated
Nov 15, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2022

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 29762 TN Primary

Addresses

Primary practice location

6650 Cumberland Gap Pkwy
Harrogate, TN 37752-8012

Mailing address

PO Box 1853
New Tazewell, TN 37824-1853
Phone (865) 585-4923

Other identifiers 2

IdentifierTypeStateIssuer
Q072735MedicaidTN
7100818950MedicaidKY

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
I20211217000573 TN Practitioner - Nurse Practitioner 7911398466 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Universal Health CorporationGroup PAC ID 5597912626, 120 clinicians

Practice addresses (Care Compare)

1850 Old Knoxville Rd
Tazewell, TN 37879-3625
Phone (540) 769-3964

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Harrogate Health Group LLC CurrentSince May 25, 2022 Accepting new patients
Universal Health Corporation CurrentSince Sep 19, 2025 Accepting new patients

Locations

6650 Cumberland Gap Pkwy
Harrogate, TN 37752
Phone (423) 441-8011

1850 Old Knoxville Rd
Tazewell, TN 37879
Phone (423) 526-2137

Organizations & group practices 3

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 2

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": "1625443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668470400000",
    "number": "1235700832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1853",
            "city": "NEW TAZEWELL",
            "state": "TN",
            "postal_code": "378241853",
            "telephone_number": "865-585-4923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6650 CUMBERLAND GAP PKWY",
            "city": "HARROGATE",
            "state": "TN",
            "postal_code": "377528012",
            "telephone_number": "423-441-8011",
            "fax_number": "423-441-8014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNSEY",
        "first_name": "MALINDA",
        "middle_name": "KAYE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-05",
        "last_updated": "2022-11-15",
        "certification_date": "2022-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "29762",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q072735",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100818950",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrogate, TN

Sources for this page

Verify at the official NPI Registry.