Individual provider Active NPI

Angela Marie Nunn, WHNP-BC, FNP-C

  • Family Nurse Practitioner
  • Goodlettsville, TN
National Provider Identifier
1073106324
Registry record updated May 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
28594 Issued in TN
Practice address
123 Northcreek Blvd
Goodlettsville, TN 37072-1997
Phone
(615) 851-5860
NPI assigned
Feb 18, 2021
Last updated
May 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4034635 KY
Family Nurse Practitioner 363LF0000X 28594 TN Primary
Women's Health Nurse Practitioner 363LW0102X 4034635 KY
Women's Health Nurse Practitioner 363LW0102X 28594 TN

Addresses

Primary practice location

123 Northcreek Blvd
Goodlettsville, TN 37072-1997

Mailing address

PO Box 932958
Cleveland, OH 44193-0028

Other practice location 1

225 S 11th St Ste 101
Nashville, TN 37206-3131
Phone (615) 469-1065

Other practice location 2

501 28th Ave N
Nashville, TN 37209-4001
Phone (615) 469-1065

Other practice location 3

2945 Scottsville Rd
Bowling Green, KY 42104-6331
Phone (270) 783-3992

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, KY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20250213000976 TN Practitioner - Nurse Practitioner 5698205185 Reassigns benefits to 1 organization
I20250320002327 KY Practitioner - Nurse Practitioner 5698205185 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Little Clinic of Tennessee LLCGroup PAC ID 4688762800, 132 clinicians
Kiosk Medicine Kentucky LLCGroup PAC ID 6002887510, 169 clinicians

Practice addresses (Care Compare)

123 Northcreek Rd
Goodlettsville, TN 37072-1998
Phone (615) 851-5860

2945 Scottsville Rd
Suite E32
Bowling Green, KY 42104-6514
Phone (270) 783-3992

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4034635KYMDWomen's Health Nurse Practitioner
28594TNMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kiosk Medicine Kentucky LLC Family CurrentSince Mar 10, 2025 Accepting new patients
The Little Clinic of Tennessee LLC Family CurrentSince Mar 10, 2025 Accepting new patients
Music City Physicians Group PLLC CurrentSince Oct 1, 2022 Accepting new patients
Music City Prep Clinic PastSince Mar 12, 2024 Accepting new patients

Locations

2945 Scottsville Rd
Ste E32
Bowling Green, KY 42104
Phone (270) 783-3992

3039 Breckenridge Ln
Louisville, KY 40220
Phone (502) 451-4555

123 Northcreek Blvd
Goodlettsvlle, TN 37072
Phone (615) 851-5860

237 E Main St
Hendersonville, TN 37075
Phone (615) 431-3640

2847 Poplar Ave
Ste 103
Memphis, TN 38111
Phone (901) 244-3549

2449 Old Fort Pkwy
Murfreesboro, TN 37128
Phone (615) 225-0140

225 S 11th St
Ste 101
Nashville, TN 37206
Phone (615) 469-1065

225 S 11th St
Ste 101A
Nashville, TN 37206
Phone (615) 258-9946

225 S 11th St
Ste 101B
Nashville, TN 37206
Phone (615) 234-1007

501 28th Ave N
Nashville, TN 37209
Phone (615) 320-1620

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17956/brand/1/csg/1/fhir/r4

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

NPI Registry JSON

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

{
    "created_epoch": "1613606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747267200000",
    "number": "1073106324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 932958",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441930028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 NORTHCREEK BLVD",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370721997",
            "telephone_number": "615-851-5860"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "225 S 11th St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372063131",
            "country_code": "US",
            "telephone_number": "615-469-1065",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "501 28th Ave N",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372094001",
            "country_code": "US",
            "telephone_number": "615-469-1065",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2945 Scottsville Rd",
            "address_purpose": "LOCATION",
            "city": "Bowling Green",
            "state": "KY",
            "postal_code": "421046331",
            "country_code": "US",
            "telephone_number": "270-783-3992",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NUNN",
        "first_name": "ANGELA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "WHNP-BC, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-18",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "4034635",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "28594",
            "primary": true
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "KY",
            "license": "4034635",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "TN",
            "license": "28594",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goodlettsville, TN

Sources for this page

Verify at the official NPI Registry.