Individual provider Active NPI

Micara Desari Minnick, BSN-RN

  • General Practice Registered Nurse
  • Hixson, TN
National Provider Identifier
1487566147
Registry record updated Sep 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice Registered NurseTaxonomy code 163WG0000X
License
283936 Issued in TN
Practice address
5104 Hixson Pike
Hixson, TN 37343-3932
Phone
(423) 763-1942
Fax
(423) 763-1842
NPI assigned
Sep 18, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X 283936 TN Primary

Addresses

Primary practice location

5104 Hixson Pike
Hixson, TN 37343-3932

Mailing address

331 Warren Dr
Chattanooga, TN 37419-1439
Phone (423) 488-4229

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1789689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789689600000",
    "number": "1487566147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 WARREN DR",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374191439",
            "telephone_number": "423-488-4229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5104 HIXSON PIKE",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373433932",
            "telephone_number": "423-763-1942",
            "fax_number": "423-763-1842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINNICK",
        "first_name": "MICARA",
        "middle_name": "DESARI",
        "credential": "BSN-RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-18",
        "last_updated": "2026-09-18",
        "certification_date": "2026-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "TN",
            "license": "283936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hixson, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.