Individual provider Active NPI

Misty Daniele Thomas, FNP

  • Family Nurse Practitioner
  • Marshall, NC
National Provider Identifier
1356079875
Registry record updated Aug 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5016669 Issued in NC
Practice address
590 Medical Park Dr
Marshall, NC 28753-6807
Phone
(828) 649-3500
NPI assigned
Aug 11, 2022
Last updated
Aug 18, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5016669 NC Primary

Addresses

Primary practice location

590 Medical Park Dr
Marshall, NC 28753-6807

Mailing address

2777 Possum Trot Rd
Burnsville, NC 28714-5749
Phone (828) 284-3094

Other practice location 1

80 Guntertown Rd
Marshall, NC 28753-7806
Phone (828) 656-2611

Other practice location 2

66 NW US 25-70 Hwy
Hot Springs, NC 28743-0224
Phone (828) 622-3245

Other practice location 3

119 Mountain View Rd
Mars Hill, NC 28754-9500
Phone (828) 689-3507

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20221122002151 NC Practitioner - Nurse Practitioner 9830567882 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hot Springs Health Program IncGroup PAC ID 7214904325, 26 clinicians

Practice addresses (Care Compare)

590 Medical Park Dr
Marshall, NC 28753-6807
Phone (828) 649-3500

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hot Springs Health Program, Inc. CurrentSince Sep 26, 2022 Accepting new patients
Hot Springs Health Program, Inc. CurrentSince Sep 26, 2022 Accepting new patients
Hot Springs Health Program, Inc. Current Accepting new patients
Hot Springs Health Program, Inc. Past Accepting new patients

Locations

119 Mountain View Rd
Mars Hill, NC 28754
Phone (828) 689-3491

590 Medical Park Dr
Marshall, NC 28753
Phone (828) 649-3500

80 Guntertown Rd
Marshall, NC 28753
Phone (828) 656-2611

Interoperability endpoints

  • Direct secure messaging: mthomas588470@direct.ochin.org

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

Hospital & facility affiliations 1

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": "1660176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660780800000",
    "number": "1356079875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2777 POSSUM TROT RD",
            "city": "BURNSVILLE",
            "state": "NC",
            "postal_code": "287145749",
            "telephone_number": "828-284-3094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 MEDICAL PARK DR",
            "city": "MARSHALL",
            "state": "NC",
            "postal_code": "287536807",
            "telephone_number": "828-649-3500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "80 Guntertown Rd",
            "address_purpose": "LOCATION",
            "city": "Marshall",
            "state": "NC",
            "postal_code": "287537806",
            "country_code": "US",
            "telephone_number": "828-656-2611",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "66 NW US 25-70 Hwy",
            "address_purpose": "LOCATION",
            "city": "Hot Springs",
            "state": "NC",
            "postal_code": "287430224",
            "country_code": "US",
            "telephone_number": "828-622-3245",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "119 Mountain View Rd",
            "address_purpose": "LOCATION",
            "city": "Mars Hill",
            "state": "NC",
            "postal_code": "287549500",
            "country_code": "US",
            "telephone_number": "828-689-3507",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "MISTY",
        "middle_name": "DANIELE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-11",
        "last_updated": "2022-08-18",
        "certification_date": "2022-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5016669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marshall, NC

Sources for this page

Verify at the official NPI Registry.