Individual provider Active NPI

Nicholas Hatcher

  • Psychiatric/Mental Health Nurse Practitioner
  • Sheridan, WY
National Provider Identifier
1316496706
Registry record updated May 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
21856 Issued in TN
Practice address
1309 Coffeen Ave Ste 1200
Sheridan, WY 82801-5777
Phone
(888) 680-7417
Fax
(888) 494-1717
NPI assigned
Sep 26, 2016
Last updated
May 4, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 4, 2021

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 21856 TN Primary

Addresses

Primary practice location

1309 Coffeen Ave Ste 1200
Sheridan, WY 82801-5777

Mailing address

304 Georgetown Rd NW
Cleveland, TN 37311-1625

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
I20161123001176 TN Practitioner - Nurse Practitioner 8921387523

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Volunteer Behavioral Health Care System CurrentSince Jan 11, 2019 Accepting new patients
Catharsis Health CurrentSince Jan 21, 2022 Accepting new patients

Locations

413 Spring St
Chattanooga, TN 37405
Phone (423) 756-2740

2700 Executive Park NW
Cleveland, TN 37312
Phone (423) 479-9581

940 S Ocoee St
Cleveland, TN 37311
Phone (423) 479-5454

1504 Williams Dr
Murfreesboro, TN 37129
Phone (615) 278-2241

1309 Coffeen Ave
Ste 1200
Sheridan, WY 82801
Phone (307) 459-2801

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/vbhcs/r4/

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": "1474848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620086400000",
    "number": "1316496706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 GEORGETOWN RD NW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373111625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1309 COFFEEN AVE STE 1200",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828015777",
            "telephone_number": "888-680-7417",
            "fax_number": "888-494-1717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATCHER",
        "first_name": "NICHOLAS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-09-26",
        "last_updated": "2021-05-04",
        "certification_date": "2021-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "21856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sheridan, WY

Sources for this page

Verify at the official NPI Registry.