Active NPI
Misty Ann Prewitt
- Hearing Instrument Specialist
- Johnson City, TN
National Provider Identifier
1407674245
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 1066
- Practice address
- 516 W Oakland Ave Ste 106
Johnson City, TN 37604-1677 - Phone
- (423) 328-1244
- Fax
- (423) 282-8397
- NPI assigned
- Oct 1, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | 1066 | TN | Primary |
Addresses
Primary practice location
516 W Oakland Ave Ste 106
Johnson City, TN 37604-1677
Mailing address
4142 S 7TH St
Terre Haute, IN 47802-4123
Phone (423) 239-5361
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1066 | TN | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1727740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727740800000",
"number": "1407674245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4142 S 7TH ST",
"city": "TERRE HAUTE",
"state": "IN",
"postal_code": "478024123",
"telephone_number": "423-239-5361",
"fax_number": "800-524-8107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "516 W OAKLAND AVE STE 106",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376041677",
"telephone_number": "423-328-1244",
"fax_number": "423-282-8397"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PREWITT",
"first_name": "MISTY",
"middle_name": "ANN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-10-01",
"last_updated": "2024-10-01",
"certification_date": "2024-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "TN",
"license": "1066",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Johnson City, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.