Active NPI
Angela L Wood, APN
- Psychiatric/Mental Health Nurse Practitioner
- Lebanon, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- APN 7899
- Practice address
- 1432 W Main St
Ste 700
Lebanon, TN 37087-1323 - Phone
- (615) 781-0013
- Fax
- (615) 781-0688
- NPI assigned
- Feb 28, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | APN 7899 | TN | Primary |
Addresses
Primary practice location
1432 W Main St
Ste 700
Lebanon, TN 37087-1323
Mailing address
1432 W Main St
Suite 700
Lebanon, TN 37087-1323
Phone (615) 444-1880
Other practice location 1
304 Northcreek Blvd Ste 120
Goodlettsville, TN 37072-2098
Phone (615) 859-9902
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | SKYLINEMADISON.COCTN.TNA@CCDA.HCADIRECT.NET |
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
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Vanderbilt University School of Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
9020 Overlook Blvd
Suite 130
Brentwood, TN 37027-3259
Phone (865) 500-2690
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Specialist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APN 7899 | TN | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthy Mind Counseling Services, Inc | Current | Accepting new patients | |
| Faraday Chattanooga PC | Current | Accepting new patients | |
| Psych Services LLC | Past | Accepting new patients | |
| Madison Behavioral Health, LLC | Past | Accepting new patients |
Locations
9020 Overlook Blvd
Ste 130
Brentwood, TN 37027
Phone (865) 219-3026
6031 Shallowford Rd
Ste 113
Chattanooga, TN 37421
Phone (423) 648-4181
10142 Parkside Dr
Ste 114
Knoxville, TN 37922
6305 Lonas Dr
Ste 101
Knoxville, TN 37909
Phone (865) 584-0291
Interoperability endpoints
- skylinemadison.coctn.tna@ccda.hcadirect.net
- lifestancehealth.angelawood@148560.advancedmd-direct.com
Organizations & group practices 4
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.
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- Psychiatry Physician
- Chattanooga, TN
- NPI 1073165254
-
- Psychiatry Physician
- Madison, TN
- NPI 1912938515
-
- Nurse Practitioner
- Franklin, TN
- NPI 1689640468
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641513600000",
"number": "1053387977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1432 W MAIN ST",
"address_2": "SUITE 700",
"city": "LEBANON",
"state": "TN",
"postal_code": "370871323",
"telephone_number": "615-444-1880",
"fax_number": "615-444-7411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1432 W MAIN ST",
"address_2": "STE 700",
"city": "LEBANON",
"state": "TN",
"postal_code": "370871323",
"telephone_number": "615-781-0013",
"fax_number": "615-781-0688"
}
],
"practiceLocations": [
{
"address_1": "304 Northcreek Blvd Ste 120",
"address_purpose": "LOCATION",
"city": "Goodlettsville",
"state": "TN",
"postal_code": "370722098",
"country_code": "US",
"telephone_number": "615-859-9902",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WOOD",
"first_name": "ANGELA",
"middle_name": "L",
"name_prefix": "Ms.",
"credential": "APN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-28",
"last_updated": "2022-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "TN",
"license": "APN 7899",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "SKYLINEMADISON.COCTN.TNA@CCDA.HCADIRECT.NET",
"affiliation": "N",
"address_1": "304 Northcreek Blvd Ste 120",
"city": "Goodlettsville",
"state": "TN",
"country_code": "US",
"postal_code": "370722098",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Lebanon, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.