Individual provider Active NPI

Emily J Garrett-Pruett, RN, FNP, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Midlothian, VA
National Provider Identifier
1952503690
Registry record updated Jul 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0024193201 Issued in VA
Practice address
15521 Midlothian Tpke Ste 105
Midlothian, VA 23113-7313
Phone
(804) 207-6737
NPI assigned
Jun 4, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 124773 MO
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 124773 MO
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0024193201 VA Primary

Addresses

Primary practice location

15521 Midlothian Tpke Ste 105
Midlothian, VA 23113-7313

Mailing address

15521 Midlothian Tpke Ste 105
Midlothian, VA 23113-7313
Phone (804) 207-6737

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, IL, VA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20070927000679 MO Practitioner - Nurse Practitioner 1254426836 Reassigns benefits to 2 organizations
I20230228002526 IL Practitioner - Nurse Practitioner 1254426836 Reassigns benefits to 1 organization
I20250729004166 VA Practitioner - Nurse Practitioner 1254426836

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
McPherson Medical and Diagnostic LLCGroup PAC ID 5698773539, 88 clinicians

Practice addresses (Care Compare)

10345 Watson Rd
American Medical Missouri
Saint Louis, MO 63127-1105
Phone (314) 965-6033

2102 Main St
Scott City, MO 63780-1337
Phone (573) 264-0042

216 W Main St
Steele, MO 63877-1436
Phone (573) 695-2181

304 Teaco Rd
Kennett, MO 63857-3268
Phone (573) 717-1072

433 S Garrison Ave
Carthage, MO 64836-1749
Phone (417) 359-8646

901 W Commercial St
Kennett, MO 63857-1100
Phone (573) 717-1072

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
McPherson Medical & Diagnostic, LLC CurrentSince Jan 1, 2024 Accepting new patients
McPherson Medical & Diagnostic, LLC CurrentSince Jan 1, 2024 Accepting new patients
McPherson Medical & Diagnostic, LLC Current Accepting new patients

Locations

10345 Watson Rd
Saint Louis, MO 63127
Phone (314) 384-3584

216 W Main St
Ste B
Steele, MO 63877
Phone (573) 695-2181

216 W Main St
Steele, MO 63877
Phone (573) 695-2181

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.emilygarrettpruett@134000.advancedmd-direct.com

Organizations & group practices 4

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": "1180915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751846400000",
    "number": "1952503690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15521 MIDLOTHIAN TPKE STE 105",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231137313",
            "telephone_number": "804-207-6737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15521 MIDLOTHIAN TPKE STE 105",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231137313",
            "telephone_number": "804-207-6737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARRETT-PRUETT",
        "first_name": "EMILY",
        "middle_name": "J",
        "credential": "RN, FNP, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-04",
        "last_updated": "2025-07-07",
        "certification_date": "2025-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "124773",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MO",
            "license": "124773",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024193201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midlothian, VA

Sources for this page

Verify at the official NPI Registry.