Active NPI
Lisa N. Patterson, M.A.
- Clinical Psychologist
- Nashville, TN
National Provider Identifier
1114115334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PE0000011350
- Practice address
- 2400 Crestmoor Rd
Suite 210
Nashville, TN 37215-2032 - Phone
- (615) 298-2329
- Fax
- (615) 298-1248
- NPI assigned
- Oct 12, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PE0000011350 | TN | Primary |
Addresses
Primary practice location
2400 Crestmoor Rd
Suite 210
Nashville, TN 37215-2032
Mailing address
2400 Crestmoor Rd
Suite 210
Nashville, TN 37215-2032
Phone (615) 298-2329
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PE0000011350 | TN | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kathryn Sherrod | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Nashville, TN
- NPI 1386832590
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192147200000",
"number": "1114115334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2400 CRESTMOOR RD",
"address_2": "SUITE 210",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372152032",
"telephone_number": "615-298-2329",
"fax_number": "615-298-1248"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2400 CRESTMOOR RD",
"address_2": "SUITE 210",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372152032",
"telephone_number": "615-298-2329",
"fax_number": "615-298-1248"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATTERSON",
"first_name": "LISA",
"middle_name": "N.",
"name_prefix": "Mrs.",
"credential": "M.A.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-10-12",
"last_updated": "2007-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "TN",
"license": "PE0000011350",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nashville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.