Provider Demographics
NPI:1083590699
Name:YARRINGTON, MISTI NICHOLE
Entity type:Individual
Prefix:
First Name:MISTI
Middle Name:NICHOLE
Last Name:YARRINGTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9243 MORTON MARATHON RD
Mailing Address - Street 2:
Mailing Address - City:PULASKI
Mailing Address - State:MS
Mailing Address - Zip Code:39152-9790
Mailing Address - Country:US
Mailing Address - Phone:601-697-2748
Mailing Address - Fax:
Practice Address - Street 1:9243 MORTON MARATHON RD
Practice Address - Street 2:
Practice Address - City:PULASKI
Practice Address - State:MS
Practice Address - Zip Code:39152-9790
Practice Address - Country:US
Practice Address - Phone:601-697-2748
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-12
Last Update Date:2025-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
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No171WV0202XOther Service ProvidersContractorVehicle Modifications
No172V00000XOther Service ProvidersCommunity Health Worker
No247000000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Health Information
No372600000XNursing Service Related ProvidersAdult Companion
No373H00000XNursing Service Related ProvidersDay Training/Habilitation Specialist
No311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
No374U00000XNursing Service Related ProvidersHome Health Aide
No376J00000XNursing Service Related ProvidersHomemaker
No376K00000XNursing Service Related ProvidersNurse's Aide
No385H00000XRespite Care FacilityRespite Care