Individual provider Active NPI

Tory A. Woodard, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Cookeville, TN
National Provider Identifier
1194738153
Registry record updated Feb 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
13918 Issued in TN
Practice address
509 N Cedar Ave
Cookeville, TN 38501-1707
Phone
(931) 520-8435
Fax
(931) 372-7225
NPI assigned
Aug 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 162459 TN
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 13918 TN Primary

Addresses

Primary practice location

509 N Cedar Ave
Cookeville, TN 38501-1707

Mailing address

2208 Arbor Pointe Way
Hermitage, TN 37076-1492
Phone (615) 414-8323

Other identifiers 1

IdentifierTypeStateIssuer
1511205MedicaidTN

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
I20090429000645 TN Practitioner - Nurse Practitioner 4183772213 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Healthy Mind Counseling Services, IncGroup PAC ID 8325093081, 120 clinicians

Practice addresses (Care Compare)

100 Springhouse CT
Suite 200
Hendersonville, TN 37075-1610
Phone (615) 912-8080

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13918TNMDSocial Worker
162459TNMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Healthy Mind Counseling Services, Inc CurrentSince Aug 8, 2022 Accepting new patients

Locations

100 Springhouse Ct
Ste 200
Hendersonville, TN 37075
Phone (615) 824-8929

6305 Lonas Dr
Ste 101
Knoxville, TN 37909
Phone (865) 584-0291

660 S Mount Juliet Rd
Ste 130
Mt Juliet, TN 37122
Phone (615) 880-8427

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.torywoodard@148560.advancedmd-direct.com

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": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550707200000",
    "number": "1194738153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2208 ARBOR POINTE WAY",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370761492",
            "telephone_number": "615-414-8323",
            "fax_number": "931-372-7225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 N CEDAR AVE",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385011707",
            "telephone_number": "931-520-8435",
            "fax_number": "931-372-7225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODARD",
        "first_name": "TORY",
        "middle_name": "A.",
        "name_prefix": "Mr.",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-14",
        "last_updated": "2019-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "162459",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "13918",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1511205",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cookeville, TN

Sources for this page

Verify at the official NPI Registry.