Daysha A Brantley, MSN, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Collinwood, TN
NPI 1609978048 · NPPES record last updated Apr 9, 2024
Key facts
- NPI
- 1609978048
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 12231 (TN)
- Practice address
- 105 3Rd Ave N
Collinwood, TN 38450-4696 - Phone
- (931) 724-4628
- Fax
- (931) 724-4705
- NPI assigned
- Sep 5, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
105 3Rd Ave N
Collinwood, TN 38450-4696
Phone (931) 724-4628
Hospital & facility affiliations
- Volunteer Homecare of West TN
- Tennessee Quality Care - Home Health
- Wayne Medical Center
- North Alabama Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070215000395 | TN | Practitioner - Nurse Practitioner | 7719989060 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12231 | TN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Collinwood Family Care, LLC | Family | Current |
Accepting new patients |
Locations
105 3rd Ave N
Collinwood, TN 38450
Phone (931) 724-4628
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 12231 | TN | Yes |
Addresses
Primary practice location
105 3Rd Ave N
Collinwood, TN 38450-4696
Mailing address
105 3Rd Ave N
Collinwood, TN 38450-4696
Phone (931) 724-4628
Other providers in Collinwood, TN
All providers in Collinwood, TN · Family Nurse Practitioner in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 9, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.