Individual provider Active NPI

Jessica Lynn Byrd, WHNP, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Gallatin, TN
National Provider Identifier
1164613907
Registry record updated Jan 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
17195 Issued in TN
Practice address
156 N Water Ave Ste 3
Gallatin, TN 37066-2846
Phone
(615) 524-1022
Fax
(888) 244-1057
NPI assigned
Aug 7, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 17195 TN
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X 17195 TN Primary

Addresses

Primary practice location

156 N Water Ave Ste 3
Gallatin, TN 37066-2846

Mailing address

40 Snake Hollow Rd
Bethpage, TN 37022-4672
Phone (615) 497-6874

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, KY3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20160823002872 TN Practitioner - Nurse Practitioner 4385939818
I20250131000752 TN Practitioner - Nurse Practitioner 4385939818 Reassigns benefits to 1 organization
I20260430000583 KY Practitioner - Nurse Practitioner 4385939818 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1412 N Race St
Glasgow, KY 42141-3473
Phone (615) 524-1022

156 N Water Ave
Suite 3
Gallatin, TN 37066-2846
Phone (615) 524-1022

40 Snake Hollow Rd
Bethpage, TN 37022-4672

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Restoration Psychiatry, PLLC Multi-Specialty CurrentSince Jan 5, 2025 Accepting new patients

Locations

1412 N Race St
Glasgow, KY 42141
Phone (270) 629-6333

156 N Water Ave
Ste 3
Gallatin, TN 37066
Phone (615) 524-1022

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": "1186444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738281600000",
    "number": "1164613907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 SNAKE HOLLOW RD",
            "city": "BETHPAGE",
            "state": "TN",
            "postal_code": "370224672",
            "telephone_number": "615-497-6874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "156 N WATER AVE STE 3",
            "city": "GALLATIN",
            "state": "TN",
            "postal_code": "370662846",
            "telephone_number": "615-524-1022",
            "fax_number": "888-244-1057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYRD",
        "first_name": "JESSICA",
        "middle_name": "LYNN",
        "credential": "WHNP, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-07",
        "last_updated": "2025-01-31",
        "certification_date": "2025-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "TN",
            "license": "17195",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "17195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gallatin, TN

Sources for this page

Verify at the official NPI Registry.