Individual provider Active NPI

Tena Simmons, MSN, PNP

  • Pediatric Nurse Practitioner
  • Hendersonville, TN
National Provider Identifier
1194990440
Registry record updated Nov 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
RN103810 Issued in TN
Practice address
262 New Shackle Island Rd
Suite 203
Hendersonville, TN 37075-2489
Phone
(615) 824-1142
Fax
(615) 264-3635
NPI assigned
Apr 28, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X RN103810 TN Primary

Addresses

Primary practice location

262 New Shackle Island Rd
Suite 203
Hendersonville, TN 37075-2489

Mailing address

648 Hartsville Pike
Gallatin, TN 37066-2523
Phone (615) 451-9246

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tena.simmons@vipms.eclinicaldirectplus.com

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
I20111111000658 TN Practitioner - Nurse Practitioner 1951575745 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
7135TNMDPediatric Occupational Therapist
RN103810TNMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vip Midsouth, LLC CurrentSince Jul 8, 2025 Accepting new patients
Vip Midsouth, LLC CurrentSince Jul 8, 2025 Accepting new patients

Locations

648 Hartsville Pike
Gallatin, TN 37066
Phone (615) 451-9246

262 New Shackle Island Rd
Ste 203
Hendersonville, TN 37075
Phone (615) 824-1142

306 W Locust St
Lafayette, TN 37083
Phone (615) 668-2273

3841 Green Hills Village Dr
Ste 200
Nashville, TN 37215
Phone (615) 322-6842

6517 Highway 41A
Ste 100
Pleasant View, TN 37146
Phone (615) 323-1640

103 Redbud Dr
Ste D
Portland, TN 37148
Phone (615) 323-8306

128 Raymond Hirsch Pkwy
Ste 1
White House, TN 37188
Phone (615) 672-8118

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": "1209340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605571200000",
    "number": "1194990440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "648 HARTSVILLE PIKE",
            "city": "GALLATIN",
            "state": "TN",
            "postal_code": "370662523",
            "telephone_number": "615-451-9246",
            "fax_number": "615-452-9410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "262 NEW SHACKLE ISLAND RD",
            "address_2": "SUITE 203",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370752489",
            "telephone_number": "615-824-1142",
            "fax_number": "615-264-3635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "TENA",
        "name_prefix": "Mrs.",
        "credential": "MSN, PNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-28",
        "last_updated": "2020-11-17",
        "certification_date": "2020-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TN",
            "license": "RN103810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tena.simmons@vipms.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "262 New Shackle Island Rd",
            "address_2": "Suite 203",
            "city": "Hendersonville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "370752489",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hendersonville, TN

Sources for this page

Verify at the official NPI Registry.