Tetyana Missey

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

RN163998/AP8503 Issued in AZ

Practice address

1003 Willow Creek Rd
Prescott, AZ 86301

Phone

(928) 771-5470

NPI assigned

Jun 21, 2016

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Naz Hospitalists Inc

  • Hospitalist Physician
  • Prescott, AZ
  • NPI 1437137072
  NPD (past)

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

{
    "created_epoch": "1466467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466467200000",
    "number": "1457701468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11720",
            "address_2": "NORTHERN ARIZONA HOSPITALISTS ATTN: DR. MISSEY",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "86304",
            "telephone_number": "928-771-5470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 WILLOW CREEK RD",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "86301",
            "telephone_number": "928-771-5470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISSEY",
        "first_name": "TETYANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-21",
        "last_updated": "2016-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AZ",
            "license": "RN163998/AP8503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas J. Millsop, RPH
• Nancy Jean Minson
• Miranda Optometry, P. C.
• Carrie Joy Miranda, O. D.
• Janis Lee Missey, PT
• Timothy D Missey, D.O.
• Mitchell L Gelber Edd PC
• Shawn Jeffery Mitchell, APRN
• Ted A. Mize I, P.T.
• Daniel Lee Moffat, P.A.C.

• All providers in Prescott, AZ
• Acute Care Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.