Active NPI
Amy G Nicholson, M.A.
- Health Service Psychologist
- Nashville, TN
National Provider Identifier
1053697813
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Psychologist
- License
- 11499
- Practice address
- 3601 The Vanderbilt Clinic
Nashville, TN 37232-5721 - Phone
- (615) 936-2000
- NPI assigned
- Oct 25, 2011
- 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 |
|---|---|---|---|---|
| Health Service Psychologist | 103TH0100X | 11499 | TN | Primary |
Addresses
Primary practice location
3601 The Vanderbilt Clinic
Nashville, TN 37232-5721
Mailing address
3841 Green Hills Village Dr Ste 200
Nashville, TN 37215-2691
Other practice location 1
230 Appleton Pl
PMB 40
Nashville, TN 37203-5721
Phone (615) 343-8748
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | anicholson29973@direct.vumc.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11499 | TN | MD | Health Service Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647993600000",
"number": "1053697813",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3841 GREEN HILLS VILLAGE DR STE 200",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372152691"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3601 THE VANDERBILT CLINIC",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372325721",
"telephone_number": "615-936-2000"
}
],
"practiceLocations": [
{
"address_1": "230 Appleton Pl",
"address_2": "PMB 40",
"address_purpose": "LOCATION",
"city": "Nashville",
"state": "TN",
"postal_code": "372035721",
"country_code": "US",
"telephone_number": "615-343-8748",
"fax_number": "615-936-6614",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NICHOLSON",
"first_name": "AMY",
"middle_name": "G",
"credential": "M.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-10-25",
"last_updated": "2022-03-23",
"certification_date": "2022-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "103TH0100X",
"taxonomy_group": "",
"desc": "Psychologist, Health Service",
"state": "TN",
"license": "11499",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "anicholson29973@direct.vumc.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Health Information Service Provider",
"address_1": "3601 The Vanderbilt Clinic",
"city": "Nashville",
"state": "TN",
"country_code": "US",
"postal_code": "372325721",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Nashville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.