Individual provider Active NPI

Misty Guy

  • Family Nurse Practitioner
  • Mobile, AL
National Provider Identifier
1841853496
Registry record updated Apr 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-104448 Issued in AL
Practice address
251 N Bayou St
Mobile, AL 36603-5827
Phone
(251) 690-8158
NPI assigned
Apr 19, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2019

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 1-104448 AL Primary

Addresses

Primary practice location

251 N Bayou St
Mobile, AL 36603-5827

Mailing address

28530 Canterbury Rd
Daphne, AL 36526-8053
Phone (251) 236-1915

Other names 1

  • Misty Burch 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
I20190807000573 AL Practitioner - Nurse Practitioner 4385971811 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mobile County Board of HealthGroup PAC ID 9931208386, 26 clinicians

Practice addresses (Care Compare)

251 N Bayou St
Mobile, AL 36603-5827
Phone (251) 690-8847

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1-104448ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mobile County Board of Health CurrentSince Jun 15, 2019 Accepting new patients
Mobile County Board of Health CurrentSince Jun 15, 2019 Accepting new patients
Mobile County Board of Health Past Accepting new patients

Locations

19260 N Mobile St
Citronelle, AL 36522
Phone (251) 866-5585

4009 Saint Stephens Rd
Mobile, AL 36612
Phone (251) 456-1399

248 Cox St
Ste A
Mobile, AL 36604
Phone (251) 405-4524

5580 Inn Rd
Mobile, AL 36619
Phone (251) 410-4394

248 Cox St
Ste B
Mobile, AL 36604
Phone (251) 690-8930

251 N Bayou St
Mobile, AL 36603
Phone (251) 690-8158

2601 Dauphin Island Pkwy
Mobile, AL 36605
Phone (251) 445-3450

950 W Coy Smith Hwy
Mount Vernon, AL 36560
Phone (251) 829-9884

3810 Wulff Rd E
Semmes, AL 36575
Phone (251) 445-0582

Interoperability endpoints

  • Direct secure messaging: misty.guy.1@15479.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1555632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555632000000",
    "number": "1841853496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28530 CANTERBURY RD",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365268053",
            "telephone_number": "251-236-1915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 N BAYOU ST",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366035827",
            "telephone_number": "251-690-8158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUY",
        "first_name": "MISTY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-19",
        "last_updated": "2019-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-104448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MISTY",
            "last_name": "BURCH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.