Individual provider Active NPI

Abigail Randall, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Nashville, TN
National Provider Identifier
1104443308
Registry record updated Jan 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
28245 Issued in TN
Practice address
220 Athens Way Ste 104
Nashville, TN 37228-1351
Phone
(615) 320-1155
Fax
(615) 320-1177
NPI assigned
Jul 3, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 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 28245 TN Primary

Addresses

Primary practice location

220 Athens Way Ste 104
Nashville, TN 37228-1351

Mailing address

220 Athens Way Ste 104
Nashville, TN 37228-1351
Phone (615) 320-1155

Other practice location 1

871 Professional Park Dr
Clarksville, TN 37040-5257
Phone (866) 816-0433

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address abigail.e.randall@vanderbilt.edu

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
I20201124001508 TN Practitioner - Nurse Practitioner 6002227030 Reassigns benefits to 2 organizations

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
Athena Consulting and Psychological Services, PLLCGroup PAC ID 5294719795, 60 clinicians

Practice addresses (Care Compare)

220 Athens Way
Suite 104
Nashville, TN 37228-1351
Phone (615) 320-1155

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Athena Consulting and Psychological Services, PLLC CurrentSince Mar 15, 2024 Accepting new patients
Mental Health Cooperative, Inc CurrentSince Dec 7, 2020 Accepting new patients

Locations

871 Professional Park Dr
Clarksville, TN 37040
Phone (931) 206-3021

109 Hazel Path
Ste 4
Hendersonvlle, TN 37075
Phone 6153201155 ext. 232

220 Athens Way
Ste 104
Nashville, TN 37228
Phone (615) 380-4725

275 Cumberland Bnd
Nashville, TN 37228
Phone (615) 726-3340

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": "1593734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738022400000",
    "number": "1104443308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 ATHENS WAY STE 104",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372281351",
            "telephone_number": "615-320-1155",
            "fax_number": "615-320-1177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 ATHENS WAY STE 104",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372281351",
            "telephone_number": "615-320-1155",
            "fax_number": "615-320-1177"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "871 Professional Park Dr",
            "address_purpose": "LOCATION",
            "city": "Clarksville",
            "state": "TN",
            "postal_code": "370405257",
            "country_code": "US",
            "telephone_number": "866-816-0433",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RANDALL",
        "first_name": "ABIGAIL",
        "name_prefix": "Miss",
        "credential": "APRN, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-03",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "28245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "abigail.e.randall@vanderbilt.edu",
            "affiliation": "N",
            "address_1": "3401 W End Ave Ste 380",
            "city": "Nashville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "372036851",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.