Individual provider Active NPI

Madeline Brooke Ramirez, MSNPMHNP-BCBSNRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Nashville, TN
National Provider Identifier
1134733587
Registry record updated Jan 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
28167 Issued in TN
Practice address
461 21St Ave S
Nashville, TN 37240-1104
Phone
(615) 322-4400
NPI assigned
Sep 3, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X 212287 TN
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 28167 TN Primary

Addresses

Primary practice location

461 21St Ave S
Nashville, TN 37240-1104

Mailing address

PO Box 3492
Chattanooga, TN 37404-0492

Other practice location 1

2205 McCallie Ave
Chattanooga, TN 37404-3230
Phone (423) 698-2435

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address MADELINE.RAMIREZ@hca1.eclinicaldirectplus.com

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
I20201216002903 TN Practitioner - Nurse Practitioner 9234541160 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Vanderbilt University School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chattanooga Diagnostic Associates LLCGroup PAC ID 9739272519, 27 clinicians

Practice addresses (Care Compare)

2205 McCallie Ave
Chattanooga, TN 37404-3230
Phone (423) 698-2435

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
212287TNMDPsychiatric/Mental Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Chattanooga Diagnostic Associates LLC CurrentSince Nov 9, 2020 Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

2205 McCallie Ave
Chattanooga, TN 37404
Phone (423) 508-6733

1000 Highway 28
Jasper, TN 37347
Phone (423) 837-9500

Interoperability endpoints

  • Direct secure messaging: madeline.ramirez@hca1.eclinicaldirectplus.com

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1599091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641254400000",
    "number": "1134733587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3492",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374040492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "461 21ST AVE S",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372401104",
            "telephone_number": "615-322-4400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2205 McCallie Ave",
            "address_purpose": "LOCATION",
            "city": "Chattanooga",
            "state": "TN",
            "postal_code": "374043230",
            "country_code": "US",
            "telephone_number": "423-698-2435",
            "fax_number": "423-697-6110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAMIREZ",
        "first_name": "MADELINE",
        "middle_name": "BROOKE",
        "credential": "MSNPMHNP-BCBSNRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-03",
        "last_updated": "2022-01-04",
        "certification_date": "2020-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "TN",
            "license": "212287",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "28167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "MADELINE.RAMIREZ@hca1.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "2205 McCallie Ave",
            "city": "Chattanooga",
            "state": "TN",
            "country_code": "US",
            "postal_code": "374043230",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.