Active NPI
Jackson Timothy Nolde, NP
- Family Nurse Practitioner
- Nashville, TN
National Provider Identifier
1134071855
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 41224
- Practice address
- 1301 Medical Center Dr
Nashville, TN 37232-0028 - Phone
- (615) 322-5000
- NPI assigned
- Feb 13, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 41224 | TN | |
| Family Nurse Practitioner | 363LF0000X | 41224 | TN | Primary |
Addresses
Primary practice location
1301 Medical Center Dr
Nashville, TN 37232-0028
Mailing address
3841 Green Hills Village Dr Ste 200
Nashville, TN 37215-2691
Phone (615) 322-6842
Other practice location 1
1616 W Main St
Lebanon, TN 37087-3100
Phone (615) 443-4994
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Bluemark LLC / Office Ally |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260619002044 | TN | Practitioner - Nurse Practitioner | 2466925573 |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Vanderbilt University Medical Center
Practice addresses (Care Compare)
1301 Medical Ctr Dr
Nashville, TN 37232-0028
Phone (615) 322-5000
Hospital & facility affiliations
- Vanderbilt University Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 41224 | TN | MD | Nurse Practitioner |
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Nashville, TN
- NPI 1396882205
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1770940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780963200000",
"number": "1134071855",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3841 GREEN HILLS VILLAGE DR STE 200",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372152691",
"telephone_number": "615-322-6842"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 MEDICAL CENTER DR",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372320028",
"telephone_number": "615-322-5000"
}
],
"practiceLocations": [
{
"address_1": "1616 W Main St",
"address_purpose": "LOCATION",
"city": "Lebanon",
"state": "TN",
"postal_code": "370873100",
"country_code": "US",
"telephone_number": "615-443-4994",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NOLDE",
"first_name": "JACKSON",
"middle_name": "TIMOTHY",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-02-13",
"last_updated": "2026-06-09",
"certification_date": "2026-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TN",
"license": "41224",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "41224",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.2019.3",
"affiliationName": "Bluemark LLC / Office Ally",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "1301 Medical Center Dr",
"city": "Nashville",
"state": "TN",
"country_code": "US",
"postal_code": "372320028",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Jun 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.