Individual provider Active NPI

Victoria Formosa

  • Psychiatric/Mental Health Nurse Practitioner
  • Franklin, TN
National Provider Identifier
1164170726
Registry record updated Sep 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
35203 Issued in TN
Practice address
381 Riverside Drive
Suite 460
Franklin, TN 37064-9000
Phone
(615) 224-9800
Fax
(615) 224-9840
NPI assigned
Mar 14, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2026

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 206897 TN
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 35203 TN Primary

Addresses

Primary practice location

381 Riverside Drive
Suite 460
Franklin, TN 37064-9000

Mailing address

381 Riverside Drive
Suite 460
Franklin, TN 37064-9000
Phone (615) 224-9800

Other practice location 1

2125 Belcourt Ave
Nashville, TN 37212-3503
Phone (615) 224-9800

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Nashville

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
I20250516000853 TN Practitioner - Nurse Practitioner 3870011562 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neuroscience and TMS Treatment Center PCGroup PAC ID 2264959477, 17 clinicians

Practice addresses (Care Compare)

381 Riverside Dr
Suite 460
Franklin, TN 37064-9000
Phone (615) 224-9800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
206897TNMDPsychiatric/Mental Health Registered Nurse
35203TNMDSurgical Critical Care Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neuroscience and TMS Treatment Center PC CurrentSince Feb 19, 2025 Accepting new patients

Locations

343 Franklin Rd
Ste 212
Brentwood, TN 37027
Phone (615) 224-9800

381 Riverside Dr
Ste 460
Franklin, TN 37064
Phone (615) 224-9800

2125 Belcourt Ave
Nashville, TN 37212
Phone (615) 224-9800

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": "1647216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788220800000",
    "number": "1164170726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "381 RIVERSIDE DRIVE",
            "address_2": "SUITE 460",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370649000",
            "telephone_number": "615-224-9800",
            "fax_number": "615-224-9840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "381 RIVERSIDE DRIVE",
            "address_2": "SUITE 460",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370649000",
            "telephone_number": "615-224-9800",
            "fax_number": "615-224-9840"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2125 Belcourt Ave",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372123503",
            "country_code": "US",
            "telephone_number": "615-224-9800",
            "fax_number": "615-224-9840",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FORMOSA",
        "first_name": "VICTORIA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-14",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "TN",
            "license": "206897",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "35203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Nashville",
            "affiliation": "N",
            "address_1": "1601 23rd Ave S",
            "city": "Nashville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "372123133",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Franklin, TN

Sources for this page

Verify at the official NPI Registry.