Individual provider Active NPI

Lyndsay Herron, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Sparta, TN
National Provider Identifier
1093535163
Registry record updated Feb 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
37360 Issued in TN
Practice address
164 Churchill Dr
Sparta, TN 38583-1525
Phone
(931) 485-5995
NPI assigned
Oct 14, 2024
Last updated
Feb 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2025

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 37360 TN Primary

Addresses

Primary practice location

164 Churchill Dr
Sparta, TN 38583-1525

Mailing address

842 Lone Oak Dr
Cookeville, TN 38501-3784
Phone (931) 319-3514

Other practice location 1

1860 Wilma Rudolph Blvd Ste 127V
Clarksville, TN 37040-6750
Phone (407) 347-4536

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
I20241220000848 TN Practitioner - Nurse Practitioner 6406383009 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Insightful Pediatric and Family Therapy, LLCGroup PAC ID 4981073475, 3 clinicians

Practice addresses (Care Compare)

164 Churchill Dr
Sparta, TN 38583-1525
Phone (931) 246-9449

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Insightful Pediatric and Family Therapy, LLC CurrentSince Oct 30, 2024 Accepting new patients
Lake Substance Abuse Solutions LLC Psychiatric/Mental Health PastSince Mar 10, 2023 Accepting new patients

Locations

150 N Willow Ave
Cookeville, TN 38501
Phone (931) 246-9449

164 Churchill Dr
Sparta, TN 38583
Phone (931) 246-9449

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.

NPI Registry JSON

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

{
    "created_epoch": "1728864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739318400000",
    "number": "1093535163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "842 LONE OAK DR",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385013784",
            "telephone_number": "931-319-3514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164 CHURCHILL DR",
            "city": "SPARTA",
            "state": "TN",
            "postal_code": "385831525",
            "telephone_number": "931-485-5995"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1860 Wilma Rudolph Blvd Ste 127V",
            "address_purpose": "LOCATION",
            "city": "Clarksville",
            "state": "TN",
            "postal_code": "370406750",
            "country_code": "US",
            "telephone_number": "407-347-4536",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERRON",
        "first_name": "LYNDSAY",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-14",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "37360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sparta, TN

Sources for this page

Verify at the official NPI Registry.