Active NPI
Mickie D Preston, RN, APN
- Adult Health Nurse Practitioner
- Brentwood, TN
National Provider Identifier
1699719765
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 11828
- Practice address
- 5115 Maryland Way
Brentwood, TN 37027-1200 - Phone
- (615) 346-8468
- NPI assigned
- Jun 16, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 11828 | TN | Primary |
Addresses
Primary practice location
5115 Maryland Way
Brentwood, TN 37027-1200
Mailing address
5115 Maryland Way
Brentwood, TN 37027-1200
Phone (615) 346-8468
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4125091 | Other | TN | BCBST |
| 36434112 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11828 | TN | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| NP Care of Tennessee, LLC | Past | Accepting new patients | |
| Guardian Home Care of Nashville, LLC | Past | Accepting new patients | |
| Caremore Aspire Primary Care Partners, PC | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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- NPI 1952941247
-
- Home Health Agency
- Franklin, TN
- NPI 1134150337
-
- Nurse Practitioner
- Nashville, TN
- NPI 1750432472
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383696000000",
"number": "1699719765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5115 MARYLAND WAY",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370271200",
"telephone_number": "615-346-8468"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5115 MARYLAND WAY",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370271200",
"telephone_number": "615-346-8468"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRESTON",
"first_name": "MICKIE",
"middle_name": "D",
"credential": "RN, APN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-16",
"last_updated": "2013-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "TN",
"license": "11828",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBST",
"identifier": "4125091",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "36434112",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brentwood, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.