Individual provider Active NPI

Sumitra Patel, CRNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Pulaski, TN
National Provider Identifier
1003497876
Registry record updated Aug 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1-121908 Issued in AL
Practice address
1002 Brindley Dr
Pulaski, TN 38478-4705
Phone
(931) 363-5438
NPI assigned
Apr 14, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1-121908 AL Primary

Addresses

Primary practice location

1002 Brindley Dr
Pulaski, TN 38478-4705

Mailing address

28555 Boyds Chapel Rd
Elkmont, AL 35620-3454
Phone (256) 566-5543

Other practice location 1

101 Sivley Rd SW
Huntsville, AL 35801-4421
Phone (256) 265-1000 ext. 8989

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211105001363 TN Practitioner - Nurse Practitioner 6901295351 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Centerstone of Tennessee, Inc.Group PAC ID 9739088113, 114 clinicians

Practice addresses (Care Compare)

1002 Brindley Dr
Pulaski, TN 38478-4705
Phone (888) 291-4357

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1-121908ALMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Centerstone of Tennessee, Inc. CurrentSince Oct 2, 2021 Accepting new patients
Centerstone of Tennessee, Inc. CurrentSince Oct 2, 2021 Accepting new patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Jan 19, 2024 Accepting new patients

Locations

1090 Old Florence Rd
Lawrenceburg, TN 38464
Phone (931) 762-6505

1921 Ransom Pl
Nashville, TN 37217
Phone (615) 279-6700

40 Burton Hills Blvd
Ste 200
Nashville, TN 37215
Phone (615) 257-8410

1002 Brindley Dr
Pulaski, TN 38478
Phone (931) 231-6725

418 S Main St
Waynesboro, TN 38485
Phone (931) 722-3644

Organizations & group practices 3

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": "1618358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629331200000",
    "number": "1003497876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28555 BOYDS CHAPEL RD",
            "city": "ELKMONT",
            "state": "AL",
            "postal_code": "356203454",
            "telephone_number": "256-566-5543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 BRINDLEY DR",
            "city": "PULASKI",
            "state": "TN",
            "postal_code": "384784705",
            "telephone_number": "931-363-5438"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Sivley Rd SW",
            "address_purpose": "LOCATION",
            "city": "Huntsville",
            "state": "AL",
            "postal_code": "358014421",
            "country_code": "US",
            "telephone_number": "256-265-1000 x8989",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "SUMITRA",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-14",
        "last_updated": "2021-08-19",
        "certification_date": "2021-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AL",
            "license": "1-121908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pulaski, TN

Sources for this page

Verify at the official NPI Registry.