Individual provider Active NPI

Tamera Nicole Thoener, FNP

  • Family Nurse Practitioner
  • Nashville, TN
National Provider Identifier
1194198218
Registry record updated Apr 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
20632 Issued in TN
Practice address
915 Harpeth Valley PL
Nashville, TN 37221-1141
Phone
(629) 888-3256
Fax
(615) 249-3429
NPI assigned
Nov 11, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 20632 TN Primary

Addresses

Primary practice location

915 Harpeth Valley PL
Nashville, TN 37221-1141

Mailing address

7051 Highway 70 S # 112
Nashville, TN 37221-2207
Phone (629) 888-3256

Other names 1

  • Tamera Nicole Petrash Former name

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
I20160331002523 TN Practitioner - Nurse Practitioner 0749587046 Reassigns benefits to 1 organization
Receives reassigned benefits from 1 practitioner
Practice locations: Nashville, TN

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Vanderbilt University School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Nashville Health Pro IncGroup PAC ID 2961944475, 3 clinicians

Practice addresses (Care Compare)

915 Harpeth Valley PL
Nashville, TN 37221-1141
Phone (629) 888-3256

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
20632TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nashville Health Pro, Inc CurrentSince Apr 19, 2024 Accepting new patients

Locations

631A Old Hickory Blvd
Nashville, TN 37209
Phone (615) 284-4664

7051 Highway 70 S
Nashville, TN 37221
Phone (615) 252-6929

915 Harpeth Valley Pl
Nashville, TN 37221
Phone (270) 947-1373

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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": "1447200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714435200000",
    "number": "1194198218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7051 HIGHWAY 70 S # 112",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372212207",
            "telephone_number": "629-888-3256",
            "fax_number": "615-249-3429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 HARPETH VALLEY PL",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372211141",
            "telephone_number": "629-888-3256",
            "fax_number": "615-249-3429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOENER",
        "first_name": "TAMERA",
        "middle_name": "NICOLE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-11",
        "last_updated": "2024-04-30",
        "certification_date": "2024-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "20632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAMERA",
            "last_name": "PETRASH",
            "middle_name": "NICOLE",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.