Individual provider Active NPI

Angela L Wood, APN

  • Psychiatric/Mental Health Nurse Practitioner
  • Lebanon, TN
National Provider Identifier
1053387977
Registry record updated Jan 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APN 7899 Issued in TN
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

Updated by the provider on Jan 7, 2022

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 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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110215000616 TN Practitioner - Nurse Practitioner 2860454741 Reassigns benefits to 2 organizations

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
Healthy Mind Counseling Services, IncGroup PAC ID 8325093081, 120 clinicians

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

LicenseStateTypeSpecialty
APN 7899TNMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healthy Mind Counseling Services, Inc CurrentSince Jan 4, 2022 Accepting new patients
Faraday Chattanooga PC CurrentSince Jul 11, 2023 Accepting new patients
Psych Services LLC PastSince Dec 10, 2001 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

  • Direct secure messaging: skylinemadison.coctn.tna@ccda.hcadirect.net
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.