Misty M Parker, A.C.N.P.-B.C.

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

APN11037 Issued in TN

Practice address

1385 Flowering Dogwood LN
Suite C
Dyersburg, TN 38024-6409

Phone

(731) 287-0804

Fax

(731) 285-3600

NPI assigned

Jul 18, 2005

Last updated

May 12, 2014By the provider in NPPES

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

Other identifiers 1

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

Specialty

Nurse Practitioner

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• McCoy Medical

  • Nurse Practitioner
  • Dyersburg, TN
  • NPI 1225263080
  Medicare reassignment NPD
• Dogwood Clinic Inc

  • Nurse Practitioner
  • Dyersburg, TN
  • NPI 1164586186
  NPD (past)
• Premier Wound Care, PLLC

  dba Premier Wound Care

  • Family Nurse Practitioner
  • Union City, TN
  • NPI 1669355509
  NPD (past)

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

{
    "created_epoch": "1121644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399852800000",
    "number": "1396744710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1385 FLOWERING DOGWOOD LN",
            "address_2": "SUITE C",
            "city": "DYERSBURG",
            "state": "TN",
            "postal_code": "380246409",
            "telephone_number": "731-287-0804",
            "fax_number": "731-285-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1385 FLOWERING DOGWOOD LN",
            "address_2": "SUITE C",
            "city": "DYERSBURG",
            "state": "TN",
            "postal_code": "380246409",
            "telephone_number": "731-287-0804",
            "fax_number": "731-285-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "MISTY",
        "middle_name": "M",
        "credential": "A.C.N.P.-B.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-18",
        "last_updated": "2014-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TN",
            "license": "APN11037",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1515855",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Norma Owen
• Courtney Lane Ozment, OTR/L
• Pain MD LLC
• Drake Parker
• Drake Parker, DPT
• Abbie Leigh Parnell
• Andreea Evelin Partal, M.D.
• Ravi Sanjay Patel, DDS
• Pediatric Associates of West Tennessee PLLC
• Pediatric Associates, P.C.

• Acute Care Nurse Practitioner in Dyersburg, TN
• Providers in Dyersburg, TN by specialty
• Acute Care Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2014; 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.

Verify at the official NPI Registry.