Brenda M Muzyngo, NP-C
Individual provider Active NPI Family Nurse Practitioner · Louisville, TN
NPI 1962997007 · NPPES record last updated Jun 29, 2018
Key facts
- NPI
- 1962997007
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 24385 (TN)
- Practice address
- 3217 Cove LN
Louisville, TN 37777-3253 - Phone
- (865) 255-8186
- NPI assigned
- Jun 29, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- At Home Primary Care Inc
Legacy Healthcare Services Inc
Practice addresses (Care Compare)
463 1St St NW
Cleveland, TN 37311-1760
Phone (423) 790-7662
8458 Gleason Dr
Knoxville, TN 37919-5482
Phone (865) 474-9837
Hospital & facility affiliations
- Amedisys Home Health Care
- Blount Memorial Hospital
- Parkwest Medical Center
- Methodist Medical Center of Oak Ridge
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181008002484 | TN | Practitioner - Nurse Practitioner | 6507118205 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24385 | TN | MD | Psychiatry Physician |
| 33185 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| At Home Primary Care Inc | Current |
Accepting new patients |
Locations
463 1st St NW
Cleveland, TN 37311
Phone (423) 790-6556
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 24385 | TN | Yes |
Addresses
Primary practice location
3217 Cove LN
Louisville, TN 37777-3253
Mailing address
463 1St St NW
Cleveland, TN 37311-1760
Phone (423) 790-7662
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 27-3846243 | Other | TN | TAX ID |
Other providers in Louisville, TN
- Pete Miller
- Samuel Justin Miser
- Samantha M Morris
- Robert Charles Morsch
- Beverly Elaine Mortenson
- Barrington N Nash
- Lauren Faye Nicholson
- Cassaundra Norton
- Odacir H Oliveira
- Joshua Ormond
All providers in Louisville, TN · Family Nurse Practitioner in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 29, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.