Individual provider Active NPI

Margo Fortney, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Brentwood, TN
National Provider Identifier
1306027040
Registry record updated Apr 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APN0000012959 Issued in TN
Practice address
317 Seven Springs Way Ste 201
Brentwood, TN 37027-4511
Phone
(615) 846-4558
Fax
(615) 461-1726
NPI assigned
Nov 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APN0000012959 TN Primary

Addresses

Primary practice location

317 Seven Springs Way Ste 201
Brentwood, TN 37027-4511

Mailing address

317 Seven Springs Way Ste 201
Brentwood, TN 37027-4511
Phone (615) 846-4558

Other identifiers 1

IdentifierTypeStateIssuer
1516131MedicaidTN

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
I20090409000357 TN Practitioner - Nurse Practitioner 9537216585 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APN0000012959TNMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
CKKN, LLC CurrentSince Aug 3, 2019 Accepting new patients

Locations

317 Seven Springs Way
Ste 201
Brentwood, TN 37027
Phone (615) 830-7171

Interoperability endpoints

  • Direct secure messaging: margo.fortney.1@21562.direct.athenahealth.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": "1195776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585785600000",
    "number": "1306027040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 SEVEN SPRINGS WAY STE 201",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370274511",
            "telephone_number": "615-846-4558",
            "fax_number": "615-461-1726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 SEVEN SPRINGS WAY STE 201",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370274511",
            "telephone_number": "615-846-4558",
            "fax_number": "615-461-1726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORTNEY",
        "first_name": "MARGO",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-23",
        "last_updated": "2020-04-02",
        "certification_date": "2020-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "APN0000012959",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1516131",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brentwood, TN

Sources for this page

Verify at the official NPI Registry.