Individual provider Active NPI

Lexie Nicolette Gabbard

  • Physician Assistant
  • Hermitage, TN
National Provider Identifier
1164157111
Registry record updated Oct 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
6596 Issued in TN
Practice address
5655 Frist Blvd
Hermitage, TN 37076-2053
Phone
(615) 316-3150
NPI assigned
Jul 22, 2022
Last updated
Oct 23, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 6596 TN Primary

Addresses

Primary practice location

5655 Frist Blvd
Hermitage, TN 37076-2053

Mailing address

5655 Frist Blvd
Hermitage, TN 37076-2053
Phone (615) 316-3150

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
I20240508001589 TN Practitioner - Physician Assistant 7214378215 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
6596TNMDMassage Therapist
5696TNMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Trevecca Nazarene University PastSince Apr 14, 2024 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1658448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792713600000",
    "number": "1164157111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5655 FRIST BLVD",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370762053",
            "telephone_number": "615-316-3150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5655 FRIST BLVD",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370762053",
            "telephone_number": "615-316-3150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GABBARD",
        "first_name": "LEXIE",
        "middle_name": "NICOLETTE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-22",
        "last_updated": "2026-10-23",
        "certification_date": "2026-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "6596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hermitage, TN

Sources for this page

Verify at the official NPI Registry.