Individual provider Active NPI

Tehri Kellie Roberts, MSN FNP

  • Family Nurse Practitioner
  • Smyrna, TN
National Provider Identifier
1063965168
Registry record updated Feb 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
21440 Issued in TN
Practice address
300 Stonecrest Blvd Ste 110
Smyrna, TN 37167-5689
Phone
(615) 223-6606
Fax
(615) 223-6629
NPI assigned
Jul 26, 2016
Last updated
Feb 26, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 21440 TN Primary

Addresses

Primary practice location

300 Stonecrest Blvd Ste 110
Smyrna, TN 37167-5689

Mailing address

300 Stonecrest Blvd Ste 110
Smyrna, TN 37167-5689
Phone (615) 223-6606

Other practice location 1

300 20th Ave N
Suite G-4
Nashville, TN 37203-2131
Phone (615) 284-5098

Other identifiers 3

IdentifierTypeStateIssuer
6078901OtherTNBCBS
Q023634MedicaidTN
7100440140MedicaidKY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address TEHRI.ROBERTS@hca1.eclinicaldirectplus.com

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
I20161024000082 TN Practitioner - Nurse Practitioner 1557649779 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gastroenterology Specialists of Middle Tennessee LLCGroup PAC ID 7012088180, 8 clinicians

Practice addresses (Care Compare)

200 Stonecrest Blvd
Smyrna, TN 37167-6810
Phone (615) 768-2000

300 Stonecrest Blvd
Suite 110
Smyrna, TN 37167-5689
Phone (615) 223-6606

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.98 of 100Reported as group
Quality
95.05
Promoting interoperability
99
Improvement activities
40
Cost
65.71

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
21440TNMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gastroenterology Specialists of Middle Tennessee LLC CurrentSince Dec 24, 2018 Accepting new patients
HCA Health Services of Tennessee, Inc. Past Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

300 Stonecrest Blvd
Ste 210
Smyrna, TN 37167
Phone (615) 459-4441

300 Stonecrest Blvd
Ste 110
Smyrna, TN 37167
Phone (615) 223-6606

200 Stonecrest Blvd
Smyrna, TN 37167
Phone (615) 768-2000

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1469491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708905600000",
    "number": "1063965168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 STONECREST BLVD STE 110",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371675689",
            "telephone_number": "615-223-6606",
            "fax_number": "615-223-6629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 STONECREST BLVD STE 110",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371675689",
            "telephone_number": "615-223-6606",
            "fax_number": "615-223-6629"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 20th Ave N",
            "address_2": "Suite G-4",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372032131",
            "country_code": "US",
            "telephone_number": "615-284-5098",
            "fax_number": "615-284-5385",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "TEHRI",
        "middle_name": "KELLIE",
        "name_prefix": "Mrs.",
        "credential": "MSN FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-26",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "21440",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "6078901",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q023634",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100440140",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "TEHRI.ROBERTS@hca1.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "300 Stonecrest Blvd Ste 210",
            "city": "Smyrna",
            "state": "TN",
            "country_code": "US",
            "postal_code": "371676800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Smyrna, TN

Sources for this page

Verify at the official NPI Registry.