Individual provider Active NPI

Emily Caroline Brister, DNP, RN, CPN, FNP-C

  • Family Nurse Practitioner
  • Ridgeland, MS
National Provider Identifier
1518639012
Registry record updated Sep 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
905101 Issued in MS
Practice address
1051 Highland Colony Pkwy
Ridgeland, MS 39157-8843
Phone
(601) 707-3737
NPI assigned
Oct 2, 2021
Last updated
Sep 28, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 905101 MS Primary

Addresses

Primary practice location

1051 Highland Colony Pkwy
Ridgeland, MS 39157-8843

Mailing address

295 N Brandon Blvd
Brandon, MS 39042-8331
Phone (601) 741-2471

Other practice location 1

295 N Brandon Blvd
Brandon, MS 39042-8331
Phone (601) 741-2471

Other names 1

  • Dr. Emily Caroline Whigham Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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

Enrollment IDStateProvider typePAC IDDetails
I20221104000707 MS Practitioner - Nurse Practitioner 2860869898 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trustcare Health, LLCGroup PAC ID 0547427858, 40 clinicians

Practice addresses (Care Compare)

601 Hwy 80 E
Clinton, MS 39056-5122
Phone (601) 708-1480

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Trustcare Health, LLC CurrentSince Oct 24, 2022 Accepting new patients
Trustcare Primary Care, LLC Past Accepting new patients
St. Dominic Jackson Memorial Past Accepting new patients

Locations

1645 W Government St
Ste F
Brandon, MS 39042
Phone (601) 829-6600

1651 W Government Cv
Brandon, MS 39042
Phone (601) 487-4340

601 Highway 80 E
Clinton, MS 39056
Phone (601) 708-1480

1710 Old Fannin Rd
Flowood, MS 39232
Phone (601) 487-9191

101 Lexington Dr
Ste A
Gluckstadt, MS 39110
Phone (601) 427-5657

6176 U S Highway 98
Hattiesburg, MS 39402
Phone (601) 475-0444

4880 I 55 Frontage Rd N
Jackson, MS 39211
Phone (601) 467-9199

1073 Highway 51
Ste 101
Madison, MS 39110
Phone (601) 499-1840

1073 Highway 51
Ste 105
Madison, MS 39110
Phone (601) 203-1570

1051 Highland Colony Pkwy
Ridgeland, MS 39157
Phone (601) 707-3737

1051 Highland Colony Pkwy
Ste E
Ridgeland, MS 39157
Phone (601) 707-3737

1067 Highland Colony Pkwy
Ridgeland, MS 39157
Phone (601) 707-3490

1107 Highland Colony Pkwy
Ste 219
Ridgeland, MS 39157
Phone (601) 499-0651

786 Lake Harbour Dr
Ridgeland, MS 39157
Phone (601) 499-0022

Interoperability endpoints

  • Direct secure messaging: emily.brister.1@19538.direct.athenahealth.com

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1633132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664323200000",
    "number": "1518639012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "295 N BRANDON BLVD",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390428331",
            "telephone_number": "601-741-2471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1051 HIGHLAND COLONY PKWY",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391578843",
            "telephone_number": "601-707-3737"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "295 N Brandon Blvd",
            "address_purpose": "LOCATION",
            "city": "Brandon",
            "state": "MS",
            "postal_code": "390428331",
            "country_code": "US",
            "telephone_number": "601-741-2471",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRISTER",
        "first_name": "EMILY",
        "middle_name": "CAROLINE",
        "name_prefix": "Dr.",
        "credential": "DNP, RN, CPN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-02",
        "last_updated": "2022-09-28",
        "certification_date": "2022-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "905101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "WHIGHAM",
            "middle_name": "CAROLINE",
            "prefix": "DR.",
            "credential": "DNP, RN, CPN, FNP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ridgeland, MS

Sources for this page

Verify at the official NPI Registry.