Active NPI
Rose B Vick, APRN
- Psychiatric/Mental Health Nurse Practitioner
- Brentwood, TN
National Provider Identifier
1003098963
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- APN17121
- Practice address
- 5300 Maryland Way
Suite 103
Brentwood, TN 37027-5074 - Phone
- (615) 224-9800
- Fax
- (615) 224-9840
- NPI assigned
- Dec 3, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 5409P | KY | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | APN17121 | TN | Primary |
Addresses
Primary practice location
5300 Maryland Way
Suite 103
Brentwood, TN 37027-5074
Mailing address
5300 Maryland Way
Suite 103
Brentwood, TN 37027-5074
Phone (615) 224-9800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5409P | Other | KY | KY LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5409P | KY | MD | Psychiatric/Mental Health Nurse Practitioner |
| APN17121 | TN | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tennessee Health Partners LLC | Current | Accepting new patients | |
| Neuroscience and TMS Treatment Center PC | Current | Accepting new patients |
Locations
5300 Maryland Way
Ste 103
Brentwood, TN 37027
Phone (615) 224-9800
2125 Belcourt Ave
Nashville, TN 37212
Phone (615) 224-9800
Interoperability endpoints
- https://api.platform.athenahealth.com/19831/brand/2/csg/1/fhir/r4
- https://fhir4.healow.com/fhir/r4/HEJBAA
Organizations & group practices 2
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.
-
dba Synaptic Psych
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Nashville, TN
- NPI 1225465107
-
- Nurse Practitioner
- Franklin, TN
- NPI 1326603911
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751328000000",
"number": "1003098963",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5300 MARYLAND WAY",
"address_2": "SUITE 103",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370275074",
"telephone_number": "615-224-9800",
"fax_number": "615-224-9840"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5300 MARYLAND WAY",
"address_2": "SUITE 103",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370275074",
"telephone_number": "615-224-9800",
"fax_number": "615-224-9840"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VICK",
"first_name": "ROSE",
"middle_name": "B",
"name_prefix": "Ms.",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-12-03",
"last_updated": "2025-07-01",
"certification_date": "2025-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "KY",
"license": "5409P",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "TN",
"license": "APN17121",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KY LICENSE",
"identifier": "5409P",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brentwood, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.