Individual provider Active NPI

Misty Dawn Thrasher, CRNP

  • Women's Health Nurse Practitioner
  • Sheffield, AL
National Provider Identifier
1790832772
Registry record updated Dec 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
1-094526 Issued in AL
Practice address
1000 S Jackson Hwy
Sheffield, AL 35660-5761
Phone
(256) 389-3567
NPI assigned
Jan 4, 2007
Last updated
Dec 29, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 1-094526 AL Primary

Addresses

Primary practice location

1000 S Jackson Hwy
Sheffield, AL 35660-5761

Mailing address

1000 S Jackson Hwy
Sheffield, AL 35660-5761
Phone (256) 389-3567

Other names 1

  • Ms. Misty Dawn Hester Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20040720000484 AL Practitioner - Nurse Practitioner 3375522527

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1-094526ALMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
State of Alabama Department of Public Health Past Accepting new patients

Organizations & group practices 1

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": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482969600000",
    "number": "1790832772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 S JACKSON HWY",
            "city": "SHEFFIELD",
            "state": "AL",
            "postal_code": "356605761",
            "telephone_number": "256-389-3567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 S JACKSON HWY",
            "city": "SHEFFIELD",
            "state": "AL",
            "postal_code": "356605761",
            "telephone_number": "256-389-3567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THRASHER",
        "first_name": "MISTY",
        "middle_name": "DAWN",
        "name_prefix": "Ms.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-04",
        "last_updated": "2016-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "AL",
            "license": "1-094526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MISTY",
            "last_name": "HESTER",
            "middle_name": "DAWN",
            "prefix": "MS.",
            "credential": "CRNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sheffield, AL

Sources for this page

Verify at the official NPI Registry.