Individual provider Active NPI

Misty Harrison, FNP-C

  • Family Nurse Practitioner
  • Abilene, TX
National Provider Identifier
1366535411
Registry record updated Jan 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
603617 Issued in TX
Practice address
1305 Lancelot Rd
Abilene, TX 79602-4243
Phone
(325) 670-9449
Fax
(325) 793-9820
NPI assigned
Oct 2, 2006
Last updated
Jan 30, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2012

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 603617 TX Primary

Addresses

Primary practice location

1305 Lancelot Rd
Abilene, TX 79602-4243

Mailing address

1305 Lancelot Rd
Abilene, TX 79602-4243
Phone (325) 670-9449

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20070316000024 TX Practitioner - Nurse Practitioner 0446353254 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
603617TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Endocrinology Associates CurrentSince Oct 1, 2017 Accepting new patients
Endocrinology Associates CurrentSince Oct 1, 2017 Accepting new patients

Locations

2501 S Willis St
Abilene, TX 79605
Phone (325) 677-5201

Organizations & group practices 2

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": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327881600000",
    "number": "1366535411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 LANCELOT RD",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796024243",
            "telephone_number": "325-670-9449",
            "fax_number": "325-793-9820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 LANCELOT RD",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796024243",
            "telephone_number": "325-670-9449",
            "fax_number": "325-793-9820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "MISTY",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2012-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "603617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abilene, TX

Sources for this page

Verify at the official NPI Registry.