Active NPI
Kathryn Stegall Fordham, FNP
- Family Nurse Practitioner
- Nashville, TN
National Provider Identifier
1164659512
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 8320
- Practice address
- 397 Wallace Rd
Nashville, TN 37211-4854 - Phone
- (615) 834-6166
- NPI assigned
- Jun 12, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 8320 | TN | Primary |
Addresses
Primary practice location
397 Wallace Rd
Nashville, TN 37211-4854
Mailing address
397 Wallace Rd
BLDG C Suite 100
Nashville, TN 37211-4854
Phone (615) 834-6166
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kathryn.stegallfordham@hca1.eclinicaldirectplus.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8320 | TN | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1244764800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643587200000",
"number": "1164659512",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "397 WALLACE RD",
"address_2": "BLDG C SUITE 100",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372114854",
"telephone_number": "615-834-6166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "397 WALLACE RD",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372114854",
"telephone_number": "615-834-6166"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORDHAM",
"first_name": "KATHRYN",
"middle_name": "STEGALL",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-12",
"last_updated": "2022-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "8320",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kathryn.stegallfordham@hca1.eclinicaldirectplus.com",
"affiliation": "N",
"address_1": "397 Wallace Rd",
"city": "Nashville",
"state": "TN",
"country_code": "US",
"postal_code": "372114854",
"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 Jan 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.