Individual provider Active NPI

Roxanne M Valentino, MD

  • Sleep Medicine (Psychiatry & Neurology) Physician
  • Hendersonville, TN
National Provider Identifier
1104868678
Registry record updated Feb 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084S0012X
License
42960 Issued in TN
Practice address
113 Maple Row Blvd Ste B
Hendersonville, TN 37075-3846
Phone
(615) 265-8776
NPI assigned
Jun 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 42960 TN
Sleep Medicine (Psychiatry & Neurology) Physician 2084S0012X 42960 TN Primary

Addresses

Primary practice location

113 Maple Row Blvd Ste B
Hendersonville, TN 37075-3846

Mailing address

3024 Business Park Cir
Goodlettsville, TN 37072-3132
Phone (615) 239-2018

Other practice location 1

114 Saundersville Rd
Hendersonville, TN 37075-8967
Phone (629) 888-5175

Other identifiers 2

IdentifierTypeStateIssuer
4248274OtherTNBCBS TN
1517330MedicaidTN

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080603000391 TN Practitioner - Sleep MedicinePractitioner - Neurology 9032151832 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Sleep MedicineAlso: Neurology
Education
Ohio State University College of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Advanced Diagnostic Imaging PCGroup PAC ID 7315848140, 523 clinicians

Practice addresses (Care Compare)

3024 Business Park Cir
Goodlettsville, TN 37072-3132
Phone (615) 851-6033

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
42960TNMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Diagnostic Imaging, PC CurrentSince Sep 22, 2019 Accepting new patients
Saint Thomas Medical Partners Neurology CurrentSince Jan 1, 2010 Accepting new patients
Advanced Diagnostic Imaging PC CurrentSince Sep 22, 2019 Accepting new patients

Locations

3024 Business Park Cir
Goodlettsvlle, TN 37072
Phone (615) 239-2018

114 Saundersville Rd
Hendersonville, TN 37075
Phone (629) 888-5175

264 New Shackle Island Rd
Ste 103
Hendersonville, TN 37075
Phone (615) 822-0858

113 Maple Row Blvd
Ste B
Hendersonville, TN 37075
Phone (615) 265-8776

3443 Dickerson Pike
Ste 400
Nashville, TN 37207
Phone (615) 612-2146

300 20th Ave N
Fl 9
Nashville, TN 37203

501 Great Circle Rd
Ste 200
Nashville, TN 37228
Phone (615) 396-4694

300 20th Ave N
Ste 403
Nashville, TN 37203
Phone (615) 284-4088

491 Sage Rd N
Ste 200
White House, TN 37188
Phone (615) 581-5925

Interoperability endpoints

  • Direct secure messaging: roxanne.valentino@ahp.eclinicaldirectplus.com

Organizations & group practices 3

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": "1149984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676419200000",
    "number": "1104868678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3024 BUSINESS PARK CIR",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370723132",
            "telephone_number": "615-239-2018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 MAPLE ROW BLVD STE B",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370753846",
            "telephone_number": "615-265-8776"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "114 Saundersville Rd",
            "address_purpose": "LOCATION",
            "city": "Hendersonville",
            "state": "TN",
            "postal_code": "370758967",
            "country_code": "US",
            "telephone_number": "629-888-5175",
            "fax_number": "629-888-5176",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VALENTINO",
        "first_name": "ROXANNE",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-11",
        "last_updated": "2023-02-15",
        "certification_date": "2023-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TN",
            "license": "42960",
            "primary": false
        },
        {
            "code": "2084S0012X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Sleep Medicine",
            "state": "TN",
            "license": "42960",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS TN",
            "identifier": "4248274",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1517330",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hendersonville, TN

Sources for this page

Verify at the official NPI Registry.