Misty Niroca Paul

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

63334 Issued in TN

Practice address

2702 Roberts Ridge Rd
Manchester, TN 37355-4246

Phone

(931) 312-0369

NPI assigned

Oct 9, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1507507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507507200000",
    "number": "1942710520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 PARKS ST",
            "city": "MANCHESTER",
            "state": "TN",
            "postal_code": "373552482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2702 ROBERTS RIDGE RD",
            "city": "MANCHESTER",
            "state": "TN",
            "postal_code": "373554246",
            "telephone_number": "931-312-0369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAUL",
        "first_name": "MISTY",
        "middle_name": "NIROCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-09",
        "last_updated": "2017-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "TN",
            "license": "63334",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF HEALTH",
            "identifier": "00503772",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rita Patidar, PHARMD
• Angela Sitz Patterson, APN
• Catherine Marie Patterson, PA-C
• Judith Anderson Patterson
• Paul E. Honeycutt, DDS (Honeycutt Family Dentistry)
• Brian Walter Petersen, D.O.
• Denise Pettinger, FNP
• Jaime Phillips, PMHNP, RN
• Kathryn A Phillips, MSNRNCS
• Mariah Shaneil Phillips, RN

• Licensed Practical Nurse in Manchester, TN
• Providers in Manchester, TN by specialty
• Licensed Practical Nurse in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.