Individual provider Active NPI

Alexandra Wittenberg, DNP, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Nashville, TN
National Provider Identifier
1174301766
Registry record updated Aug 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
34872 Issued in TN
Practice address
30 Burton Hills Blvd Ste 360
Nashville, TN 37215-6407
Phone
(615) 465-4875
Fax
(615) 327-4881
NPI assigned
Sep 15, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2024

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 229137 TN
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 34872 TN Primary

Addresses

Primary practice location

30 Burton Hills Blvd Ste 360
Nashville, TN 37215-6407

Mailing address

30 Burton Hills Blvd Ste 360
Nashville, TN 37215-6407
Phone (615) 465-4875

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
I20231122000438 TN Practitioner - Nurse Practitioner 7315395829 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Tennessee, HSC, College of Medicine, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nashville TMS PLLCGroup PAC ID 8224358353, 7 clinicians

Practice addresses (Care Compare)

2001 Mallory LN
Suite 304
Franklin, TN 37067-8236
Phone (615) 465-4875

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
229137TNMDPsychiatric/Mental Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Nashville TMS PLLC CurrentSince Oct 1, 2023 Accepting new patients
Nashville TMS PLLC CurrentSince Oct 1, 2023 Accepting new patients

Locations

2001 Mallory Ln
Ste 304
Franklin, TN 37067
Phone (615) 465-4875

30 Burton Hills Blvd
Ste 360
Nashville, TN 37215
Phone (615) 327-4877

Organizations & group practices 2

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": "1694736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723593600000",
    "number": "1174301766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 BURTON HILLS BLVD STE 360",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372156407",
            "telephone_number": "615-465-4875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 BURTON HILLS BLVD STE 360",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372156407",
            "telephone_number": "615-465-4875",
            "fax_number": "615-327-4881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITTENBERG",
        "first_name": "ALEXANDRA",
        "name_prefix": "Dr.",
        "credential": "DNP, PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-15",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "TN",
            "license": "229137",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "34872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.