Individual provider Active NPI

Meldy Joy Colmenares Parker

  • Psychiatric/Mental Health Nurse Practitioner
  • Lexington, TN
National Provider Identifier
1528930526
Registry record updated Apr 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
39641 Issued in TN
Practice address
9550 Highway 412 W Ste B
Lexington, TN 38351-5850
Phone
(731) 968-8197
Fax
(731) 967-1749
NPI assigned
Sep 19, 2025
Last updated
Apr 22, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 39641 TN Primary

Addresses

Primary practice location

9550 Highway 412 W Ste B
Lexington, TN 38351-5850

Mailing address

380 Law Rd
Lexington, TN 38351-8018

Other practice location 1

11100 Old Highway 64
Bolivar, TN 38008
Phone (731) 228-2000

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20260121002804 TN Practitioner - Nurse Practitioner 4082191085 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pathways of Tennessee IncGroup PAC ID 6507833613, 42 clinicians

Practice addresses (Care Compare)

9550 Hwy 412 W
Suite B
Lexington, TN 38351-5850
Phone (731) 968-8197

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
39641TNMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pathways of Tennessee, Inc. CurrentSince Dec 22, 2025 Accepting new patients
State of Tennessee-Western Mental Health Institute CurrentSince Sep 21, 2025 Accepting new patients

Locations

11100 Highway 64
Bolivar, TN 38008
Phone (731) 228-0772

238 Summar Dr
Jackson, TN 38301
Phone (731) 541-8200

9550 Highway 412 W
Ste B
Lexington, TN 38351
Phone (731) 968-8197

930 Mount Zion Rd
Union City, TN 38261
Phone (731) 885-9333

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1758240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776816000000",
    "number": "1528930526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 LAW RD",
            "city": "LEXINGTON",
            "state": "TN",
            "postal_code": "383518018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9550 HIGHWAY 412 W STE B",
            "city": "LEXINGTON",
            "state": "TN",
            "postal_code": "383515850",
            "telephone_number": "731-968-8197",
            "fax_number": "731-967-1749"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11100 Old Highway 64",
            "address_purpose": "LOCATION",
            "city": "Bolivar",
            "state": "TN",
            "postal_code": "38008",
            "country_code": "US",
            "telephone_number": "731-228-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARKER",
        "first_name": "MELDY JOY",
        "middle_name": "COLMENARES",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-19",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "39641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, TN

Sources for this page

Verify at the official NPI Registry.