Individual provider Active NPI

Sarah R Walsh, NP

  • Pediatric Nurse Practitioner
  • Brentwood, TN
National Provider Identifier
1083866966
Registry record updated Mar 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
APN13710 Issued in TN
Practice address
317 Seven Springs Way Ste 203
Brentwood, TN 37027-4518
Phone
(615) 739-5345
Fax
(615) 864-8646
NPI assigned
Oct 22, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X APN13710 TN Primary

Addresses

Primary practice location

317 Seven Springs Way Ste 203
Brentwood, TN 37027-4518

Mailing address

317 Seven Springs Way Ste 203
Brentwood, TN 37027-4518
Phone (615) 739-5345

Other identifiers 1

IdentifierTypeStateIssuer
1508693MedicaidTN

Other names 1

  • Sarah R Slater Former name

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
I20160722000907 TN Practitioner - Nurse Practitioner 0840583258 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13710TNMDDiagnostic Radiology Physician
APN13710TNMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Amg-Crockett, LLC CurrentSince Dec 16, 2017 Accepting new patients
Amg-Crockett, LLC CurrentSince Dec 16, 2017 Accepting new patients

Locations

2121 N Locust Ave
Ste 1
Lawrenceburg, TN 38464
Phone (931) 762-1800

1275 E College St
Ste 2
Pulaski, TN 38478
Phone (931) 363-3514

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18469/brand/1/csg/1/fhir/r4
  • Direct secure messaging: sarah.walsh.1@18469.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1224633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742428800000",
    "number": "1083866966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 SEVEN SPRINGS WAY STE 203",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370274518",
            "telephone_number": "615-739-5345",
            "fax_number": "615-864-8646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 SEVEN SPRINGS WAY STE 203",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370274518",
            "telephone_number": "615-739-5345",
            "fax_number": "615-864-8646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALSH",
        "first_name": "SARAH",
        "middle_name": "R",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-22",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TN",
            "license": "APN13710",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1508693",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "SLATER",
            "middle_name": "R",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Brentwood, TN

Sources for this page

Verify at the official NPI Registry.