Individual provider Active NPI

Mikayla Rice, FNP

  • Family Nurse Practitioner
  • Erwin, TN
National Provider Identifier
1679234470
Registry record updated Mar 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
30884 Issued in TN
Practice address
627 N Main Ave
Erwin, TN 37650-1319
Phone
(423) 735-3405
Fax
(423) 735-3408
NPI assigned
Jan 4, 2022
Last updated
Mar 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2025

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 30884 TN Primary

Addresses

Primary practice location

627 N Main Ave
Erwin, TN 37650-1319

Mailing address

627 N Main Ave
Erwin, TN 37650-1319
Phone (423) 735-3405

Other names 1

  • Mikayla Treadway Former name

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
I20220404000149 TN Practitioner - Nurse Practitioner 7719373570 Reassigns benefits to 1 organization
Practice locations: Erwin, TN

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
May accept Medicare assignment
Group practices
Valley Beautiful Healthcare LLCGroup PAC ID 3577067248, 2 clinicians

Practice addresses (Care Compare)

627 N Main Ave
Erwin, TN 37650-1319
Phone 42397958051319

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
30884TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Beautiful Healthcare LLC Family CurrentSince Jun 4, 2025 Accepting new patients
Karing Hearts Cardiology PC PastSince Jan 1, 2022 Accepting new patients

Locations

627 N Main Ave
Erwin, TN 37650
Phone (423) 735-3405

Interoperability endpoints

  • Direct secure messaging: valleybeautifulhealthcare.mikaylarice@161030.advancedmd-direct.com

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.

Hospital & facility affiliations 4

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": "1641254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740960000000",
    "number": "1679234470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "627 N MAIN AVE",
            "city": "ERWIN",
            "state": "TN",
            "postal_code": "376501319",
            "telephone_number": "423-735-3405",
            "fax_number": "423-735-3408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "627 N MAIN AVE",
            "city": "ERWIN",
            "state": "TN",
            "postal_code": "376501319",
            "telephone_number": "423-735-3405",
            "fax_number": "423-735-3408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICE",
        "first_name": "MIKAYLA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-04",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "30884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MIKAYLA",
            "last_name": "TREADWAY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Erwin, TN

Sources for this page

Verify at the official NPI Registry.