Medlyne Revert Parrish, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11041922 Issued in FL

Practice address

10619 Fuzzy Cattail St
Riverview, FL 33578-5321

Phone

(813) 778-9971

NPI assigned

Dec 4, 2025

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1764806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764806400000",
    "number": "1295698561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10619 FUZZY CATTAIL ST",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335785321",
            "telephone_number": "813-778-9971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10619 FUZZY CATTAIL ST",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335785321",
            "telephone_number": "813-778-9971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARRISH",
        "first_name": "MEDLYNE",
        "middle_name": "REVERT",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-12-04",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11041922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathan William Paluch, AA
• Eve Panak
• Sidharth Panchamia, MD
• Nicole Juliette Pankey
• Angelo S Paola, M.D.,F.A.C.S.
• Shane Everett Parson, DC
• Bhaveshkumar Patel
• Chandni N Patel, PHARMD
• Janak Patel, MD
• Kamal Patel, R. PH.

• All providers in Riverview, FL
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.