Individual provider Active NPI

Andrea A Hatch, RN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Springfield, TN
National Provider Identifier
1336277300
Registry record updated Oct 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
20494 Issued in TN
Practice address
713 Cheatham St
Springfield, TN 37172-2828
Phone
(615) 463-6200
Fax
(615) 463-6202
NPI assigned
Mar 1, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 20494 TN Primary

Addresses

Primary practice location

713 Cheatham St
Springfield, TN 37172-2828

Mailing address

713 Cheatham St
Springfield, TN 37172-2828
Phone (615) 463-6200

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
I20160712001801 TN Practitioner - Nurse Practitioner 8224320296 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centerstone of Tennessee, Inc.Group PAC ID 9739088113, 114 clinicians

Practice addresses (Care Compare)

713 Cheatham St
Springfield, TN 37172-2828
Phone (888) 291-4357

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Centerstone of Tennessee, Inc. CurrentSince Apr 24, 2016 Accepting new patients
Centerstone of Tennessee, Inc. CurrentSince Apr 24, 2016 Accepting new patients

Locations

332 Sumner Hall Dr
Gallatin, TN 37066
Phone (615) 451-5190

620 Gallatin Pike S
Madison, TN 37115
Phone (615) 460-4300

1921 Ransom Pl
Nashville, TN 37217
Phone (615) 279-6700

713 Cheatham St
Springfield, TN 37172
Phone (615) 460-4560

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": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475539200000",
    "number": "1336277300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "713 CHEATHAM ST",
            "city": "SPRINGFIELD",
            "state": "TN",
            "postal_code": "371722828",
            "telephone_number": "615-463-6200",
            "fax_number": "615-463-6202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "713 CHEATHAM ST",
            "city": "SPRINGFIELD",
            "state": "TN",
            "postal_code": "371722828",
            "telephone_number": "615-463-6200",
            "fax_number": "615-463-6202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATCH",
        "first_name": "ANDREA",
        "middle_name": "A",
        "credential": "RN, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-01",
        "last_updated": "2016-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "20494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, TN

Sources for this page

Verify at the official NPI Registry.