Rylee Herndon, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Nashville, TN
NPI 1104372580 · NPPES record last updated Aug 26, 2016
Key facts
- NPI
- 1104372580
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- APN0000021428 (TN)
- Practice address
- 333 Commerce St
Suite 700
Nashville, TN 37201-1826 - Phone
- (615) 627-2254
- NPI assigned
- Aug 26, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 27
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Upperline Healthcare PC
Village Podiatry Group II LLC
Advanced Foot Care LLP
Vital Path Care PC
Practice addresses (Care Compare)
132 Well Rd
West Monroe, LA 71291-9701
Phone (855) 669-7843
1505 Professional CT
Dalton, GA 30720-2500
Phone (706) 259-6882
1515 Mockingbird LN
Suite 420
Charlotte, NC 28209-3236
Phone (855) 669-7843
1720 Gunbarrel Rd
Chattanooga, TN 37421-4144
Phone (205) 822-8038
200 S 20TH St
Suite B
Rogers, AR 72758-1100
Phone (855) 669-7843
2045 Peachtree Rd NE
Suite 810
Atlanta, GA 30309-1412
Phone (404) 446-1890
2057 Valleydale Rd
Suite 109
Hoover, AL 35244-2707
Phone (205) 822-8038
4308 Brainerd Rd
Chattanooga, TN 37411-5424
Phone (423) 698-1966
6316 Piccadilly Square Dr
Suite a
Mobile, AL 36609-5143
Phone (251) 343-0010
9600 Two Notch Rd
Suite 5
Columbia, SC 29223-1612
Phone (407) 219-5402
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (7 enrollments) in TN, AR, AL, SC, NC, GA, LA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160921002729 | TN | Practitioner - Nurse Practitioner | 4688961469 | Reassigns benefits to 5 organizations |
| I20251203001734 | AR | Practitioner - Nurse Practitioner | 4688961469 | Reassigns benefits to 3 organizations |
| I20251205004316 | AL | Practitioner - Nurse Practitioner | 4688961469 | Reassigns benefits to 6 organizations |
| I20260107003838 | SC | Practitioner - Nurse Practitioner | 4688961469 | Reassigns benefits to 3 organizations |
| I20260225002830 | NC | Practitioner - Nurse Practitioner | 4688961469 | Reassigns benefits to 3 organizations |
| I20260313000060 | GA | Practitioner - Nurse Practitioner | 4688961469 | Reassigns benefits to 4 organizations |
| I20260331004309 | LA | Practitioner - Nurse Practitioner | 4688961469 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21428 | TN | MD | Gastroenterology Physician |
| 29598 | SC | MD | Diagnostic Radiology Physician |
| APN0000021428 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fast Pace Medical Clinic PLLC | Current |
Accepting new patients | |
| Upperline Healthcare, PC | Current |
Accepting new patients | |
| Village Podiatry Group II, LLC. | Current |
Accepting new patients | |
| Upperline Healthcare, PC | Current |
Accepting new patients | |
| Advanced Foot Care, LLP | Current |
Accepting new patients | |
| Vital Path Care PC | Current |
Accepting new patients | |
| Fast Pace Medical Clinic PLLC | Current |
Accepting new patients | |
| Adcs Care Management 1 Inc | Current |
Accepting new patients | |
| Advanced Foot Care LLP | Current |
Accepting new patients | |
| Village Podiatry Group II, LLC. | Current |
Accepting new patients |
Locations
9932 Spanish Fort Blvd
Daphne, AL 36527
Phone (251) 237-8181
2057 Valleydale Rd
Ste 109
Hoover, AL 35244
Phone (205) 822-8038
2731 Allison Bonnett Memorial Dr
Hueytown, AL 35023
Phone (205) 548-4102
6316 Piccadilly Square Dr
#A
Mobile, AL 36609
Phone (205) 822-8038
200 S 20th St
Ste B
Rogers, AR 72758
Phone (479) 636-9393
2045 Peachtree Rd NE
Ste 810
Atlanta, GA 30309
Phone (404) 351-0770
1505 Professional Ct
Dalton, GA 30720
Phone (706) 259-6882
132 Well Rd
West Monroe, LA 71291
Phone (318) 217-6521
1515 Mockingbird Ln
Ste 420
Charlotte, NC 28209
Phone (310) 230-5984
9600 Two Notch Rd
Ste 5
Columbia, SC 29223
Phone (239) 652-0260
573 Carthage Byp
Carthage, TN 37030
Phone (615) 486-6178
4308 Brainerd Rd
Chattanooga, TN 37411
Phone (423) 698-1966
7348 E Brainerd Rd
Chattanooga, TN 37421
Phone (205) 822-8038
1720 Gunbarrel Rd
Chattanooga, TN 37421
Phone (205) 822-8038
1720 Gunbarrel Rd
Ste 204
Chattanooga, TN 37421
Phone (423) 533-8556
2747 Kirby Rd
Memphis, TN 38119
Phone (901) 203-0750
2372 Lebanon Pike
Nashville, TN 37214
Phone (615) 266-0355
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APN0000021428 | TN | Yes |
Addresses
Primary practice location
333 Commerce St
Suite 700
Nashville, TN 37201-1826
Mailing address
3 Jerrell LN
Gordonsville, TN 38563-6563
NPI Registry JSON
{
"created_epoch": "1472169600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472169600000",
"number": "1104372580",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 JERRELL LN",
"city": "GORDONSVILLE",
"state": "TN",
"postal_code": "385636563"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 COMMERCE ST",
"address_2": "SUITE 700",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372011826",
"telephone_number": "615-627-2254"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERNDON",
"first_name": "RYLEE",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-26",
"last_updated": "2016-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "APN0000021428",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nashville, TN
- Yainely Hernandez
- Marta Hernanz-Schulman
- Laura Catherine Hernbeck
- Alison Claire Herndon
- Resa Herndon
- Anne Rhea Heron
- Douglas Herr
- Stanley Duke Herrell III
- Tonya Lynn Herrell
- Dakota Vance Herren
All providers in Nashville, TN · Family Nurse Practitioner in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 26, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.