NATHANIEL HAYSE PREVETTE DNP NPI 1639552060

NPI Information

  • NPI: 1639552060
  • Provider Name: NATHANIEL HAYSE PREVETTE, DNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1 S KEENE ST
    COLUMBIA, MO
    ZIP 65201
  • Phone: (573) 443-2402

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NPI Details

Nathaniel Hayse Prevette, DNP is a family nurse practitioner in Columbia, MO with 4 years of experience. Nathaniel Hayse Prevette, DNP NPI is 1639552060. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE
Graduation Year:2022

The provider's business location address is:

1 S KEENE ST
COLUMBIA, MO
ZIP 65201-217
Phone: (573) 443-2402
Fax: (573) 442-4390

The NPI 1639552060 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/2/2015 and was last updated on 8/19/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163W00000XRegistered Nurse2012033477MISSOURINo
2363LF0000XNurse PractitionerFamily2022021642MISSOURIYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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