Active NPI
Melanie Pack
- Psychiatric/Mental Health Nurse Practitioner
- Paris, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 19898
- Practice address
- 408 Virginia St
Paris, TN 38242-5341 - Phone
- (731) 642-0521
- NPI assigned
- May 13, 2015
- Last updated
- Aug 17, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 3019027 | KY | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 19898 | TN | Primary |
Addresses
Primary practice location
408 Virginia St
Paris, TN 38242-5341
Mailing address
408 Virginia St
PO Box 30
Paris, TN 38242-5341
Phone (731) 642-0521
Other practice location 1
1051 N 16th St
Murray, KY 42071-8511
Phone (270) 753-6622
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1225 E Weisgarber Rd
Suite 190
Knoxville, TN 37909-2696
Phone (423) 259-5002
458 Hannings LN
Martin, TN 38237-3308
Phone (731) 588-2830
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Truhealth, LLC | Current | Accepting new patients | |
| Behavioral Healthcare Center at Martin LLC | Current | Accepting new patients | |
| Ultacare Medical PLLC | Psychiatric/Mental Health | Current | Accepting new patients |
| DC Medical Services Inc | Current | Accepting new patients | |
| Carey Counseling Center, Inc. | Current | Accepting new patients |
Locations
190 W Main St
Camden, TN 38320
Phone (731) 213-2662
19410 Main St W
Huntingdon, TN 38344
Phone (731) 986-4411
1225 E Weisgarber Rd
Ste 190
Knoxville, TN 37909
Phone (423) 259-5002
458 Hannings Ln
Martin, TN 38237
Phone (731) 558-2830
408 Virginia St
Paris, TN 38242
Phone (731) 644-1753
1971 Tennessee Ave N
Parsons, TN 38363
Phone (731) 847-1356
1645 Florence Rd
Savannah, TN 38372
Phone (731) 926-4200
5261 Carrollton Pike
Ste A
Woodlawn, VA 24381
Interoperability endpoints
- https://api.qualifacts.org/api/fhir/careycounselingcenter/r4/
Organizations & group practices 5
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.
-
- Nurse Practitioner
- Parsons, TN
- NPI 1063843951
-
dba Dr. Hasemeier & Associates
- Family Medicine Physician
- New Tazewell, TN
- NPI 1225141492
Psychiatric/Mental Health
-
- Psychiatric Hospital
- Martin, TN
- NPI 1144324831
-
- Mental Health Counselor
- Paris, TN
- NPI 1760568877
-
dba Carney's Family Clinic
- Family Medicine Physician
- Camden, TN
- NPI 1467841742
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692230400000",
"number": "1386022119",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "408 VIRGINIA ST",
"address_2": "PO BOX 30",
"city": "PARIS",
"state": "TN",
"postal_code": "382425341",
"telephone_number": "731-642-0521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "408 VIRGINIA ST",
"city": "PARIS",
"state": "TN",
"postal_code": "382425341",
"telephone_number": "731-642-0521"
}
],
"practiceLocations": [
{
"address_1": "1051 N 16th St",
"address_purpose": "LOCATION",
"city": "Murray",
"state": "KY",
"postal_code": "420718511",
"country_code": "US",
"telephone_number": "270-753-6622",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PACK",
"first_name": "MELANIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-05-13",
"last_updated": "2023-08-17",
"certification_date": "2023-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "KY",
"license": "3019027",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "TN",
"license": "19898",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Paris, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.