Active NPI
Tyva Michelle Higgins, DNP,PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Mexico, MO
National Provider Identifier
1891365607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 2021023514
- Practice address
- 340 Kelley Pkwy
Mexico, MO 65265-3811 - Phone
- (573) 582-1234
- Fax
- (573) 582-1212
- NPI assigned
- Jun 25, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 2021023514 | MO | Primary |
Addresses
Primary practice location
340 Kelley Pkwy
Mexico, MO 65265-3811
Mailing address
340 Kelley Pkwy
Mexico, MO 65265-3811
Phone (573) 582-1234
Other names 1
- Tyva Michelle Sprouse
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Central Missouri Behavioral Health Services, Inc | Current | Accepting new patients | |
| East Central Missouri Behavioral Health Services, Inc | Current | Accepting new patients |
Locations
340 Kelley Pkwy
Mexico, MO 65265
Phone 5735821234 ext. 3017
Interoperability endpoints
- tyva.higgins.p1@direct.arthurcenter.nextgenshare.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 and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Mexico, MO
- NPI 1144293549
-
- Federally Qualified Health Center (FQHC)
- Montgomery City, MO
- NPI 1376164699
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624579200000",
"number": "1891365607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "340 KELLEY PKWY",
"city": "MEXICO",
"state": "MO",
"postal_code": "652653811",
"telephone_number": "573-582-1234",
"fax_number": "573-582-1212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "340 KELLEY PKWY",
"city": "MEXICO",
"state": "MO",
"postal_code": "652653811",
"telephone_number": "573-582-1234",
"fax_number": "573-582-1212"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HIGGINS",
"first_name": "TYVA",
"middle_name": "MICHELLE",
"credential": "DNP,PMHNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-06-25",
"last_updated": "2021-06-25",
"certification_date": "2021-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MO",
"license": "2021023514",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TYVA",
"last_name": "SPROUSE",
"middle_name": "MICHELLE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Mexico, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.