Individual provider Active NPI

Stephanie L Schutt, NP

  • Adult Health Nurse Practitioner
  • Goodlettsville, TN
National Provider Identifier
1265460315
Registry record updated May 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APN 8288 Issued in TN
Practice address
436 Dry Creek Rd
Goodlettsville, TN 37072-4021
Phone
(615) 851-5151
Fax
(615) 851-5151
NPI assigned
Jun 29, 2006
Last updated
May 1, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X APN 8288 TN Primary

Addresses

Primary practice location

436 Dry Creek Rd
Goodlettsville, TN 37072-4021

Mailing address

436 Dry Creek Rd
Goodlettsville, TN 37072-4021
Phone (615) 851-5151

Other identifiers 1

IdentifierTypeStateIssuer
3348548MedicaidTN

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
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
8288TNMDPhysical Therapy Assistant
APN 8288TNMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Housecall Today, Inc PastSince Aug 16, 2021 Accepting new patients
Superior Health Solutions LLC PastSince Jun 1, 2009 Accepting new patients
Behavior Health Consultants LLC PastSince May 10, 2020 Accepting new patients
Sutton Behavioral Health, LLC Adult Health Past Accepting new patients
Infinity Resources Inc Adult Health Past Accepting new patients

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209600000000",
    "number": "1265460315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "436 DRY CREEK RD",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370724021",
            "telephone_number": "615-851-5151",
            "fax_number": "615-851-5151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "436 DRY CREEK RD",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370724021",
            "telephone_number": "615-851-5151",
            "fax_number": "615-851-5151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHUTT",
        "first_name": "STEPHANIE",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-29",
        "last_updated": "2008-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TN",
            "license": "APN 8288",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3348548",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Goodlettsville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.