Individual provider Active NPI

Margaret Disheroon, NP

  • Family Nurse Practitioner
  • Soddy Daisy, TN
National Provider Identifier
1326028952
Registry record updated Jan 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
6517 Issued in TN
Practice address
8967 Dayton Pike
Soddy Daisy, TN 37379-4311
Phone
(423) 451-7623
Fax
(423) 451-7677
NPI assigned
Jan 19, 2006
Last updated
Jan 5, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 6517 TN
Family Nurse Practitioner 363LF0000X 6517 TN Primary
Registered Nurse 163W00000X 87021 TN

Addresses

Primary practice location

8967 Dayton Pike
Soddy Daisy, TN 37379-4311

Mailing address

2401 Decherd Blvd
Winchester, TN 37398-1164
Phone (931) 313-1388

Other identifiers 1

IdentifierTypeStateIssuer
3907034MedicaidTN

Other names 1

  • Margaret Huskey Former name

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
I20040124000265 TN Practitioner - Nurse Practitioner 6709788128 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
87021TNMDLicensed Practical Nurse
6517TNMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fast Pace Medical Clinic PLLC CurrentSince Nov 3, 2015 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Nov 3, 2015 Accepting new patients
SHC Medical Partners of Tennessee, LLC Nurse Practitioner CurrentSince Oct 10, 2022 Accepting new patients
Southeastern Emergency Services P C Nurse Practitioner CurrentSince Nov 1, 2018 Accepting new patients
Memorial Health Care System Inc. Past Accepting new patients
Jitendra G. Gandhi Past Accepting new patients

Locations

12201 Bluegrass Pkwy
Louisville, KY 40299
Phone (502) 568-7364

805 N Whittington Pkwy
Ste 400
Louisville, KY 40222
Phone (502) 272-3438

550 Fort Loudoun Med Center Dr
Lenoir City, TN 37772
Phone (865) 271-6000

415 Cole Dr
Pigeon Forge, TN 37863
Phone (865) 428-5454

185 Hospital Rd
Winchester, TN 37398
Phone (931) 962-4061

2401 Decherd Blvd
Winchester, TN 37398
Phone (931) 313-1388

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578182400000",
    "number": "1326028952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 DECHERD BLVD",
            "city": "WINCHESTER",
            "state": "TN",
            "postal_code": "373981164",
            "telephone_number": "931-313-1388",
            "fax_number": "931-313-1392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8967 DAYTON PIKE",
            "city": "SODDY DAISY",
            "state": "TN",
            "postal_code": "373794311",
            "telephone_number": "423-451-7623",
            "fax_number": "423-451-7677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DISHEROON",
        "first_name": "MARGARET",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-19",
        "last_updated": "2020-01-05",
        "certification_date": "2020-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "6517",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "6517",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "87021",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3907034",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARGARET",
            "last_name": "HUSKEY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Soddy Daisy, TN

Sources for this page

Verify at the official NPI Registry.