Individual provider Active NPI

Hannah Marie Braden, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Rocky Top, TN
National Provider Identifier
1265916241
Registry record updated Sep 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APN0000024715 Issued in TN
Practice address
421 Wallace Ave
Rocky Top, TN 37769-2637
Phone
(423) 201-3572
NPI assigned
Sep 17, 2018
Last updated
Sep 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN0000024715 TN
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APN0000024715 TN Primary

Addresses

Primary practice location

421 Wallace Ave
Rocky Top, TN 37769-2637

Mailing address

421 Wallace Ave
Rocky Top, TN 37769-2637

Other names 1

  • Hannah Marie Russell 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
I20181126003429 TN Practitioner - Nurse Practitioner 0042564395 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
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)

10025 Investment Dr
Suite 100
Knoxville, TN 37932-2665
Phone (865) 606-6110

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APN0000024715TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healthy Mind Counseling Services, Inc CurrentSince Oct 1, 2020 Accepting new patients
Summit View Health Services, LLC Family CurrentSince Oct 17, 2018 Accepting new patients

Locations

10025 Investment Dr
Ste 100
Knoxville, TN 37932
Phone (833) 547-2113

10142 Parkside Dr
Ste 114
Knoxville, TN 37922

10805 Harding Dr
Knoxville, TN 37932
Phone (865) 675-6444

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

204 Industrial Park Ln
Rocky Top, TN 37769
Phone (865) 426-2141

210 Industrial Park Ln
Rocky Top, TN 37769
Phone (865) 392-9200

Interoperability endpoints

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

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, 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": "1537142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537142400000",
    "number": "1265916241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 WALLACE AVE",
            "city": "ROCKY TOP",
            "state": "TN",
            "postal_code": "377692637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 WALLACE AVE",
            "city": "ROCKY TOP",
            "state": "TN",
            "postal_code": "377692637",
            "telephone_number": "423-201-3572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADEN",
        "first_name": "HANNAH",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-17",
        "last_updated": "2018-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000024715",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "APN0000024715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HANNAH",
            "last_name": "RUSSELL",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rocky Top, TN

Sources for this page

Verify at the official NPI Registry.