Individual provider Active NPI

Luis W Dulin, APN

  • Psychiatric/Mental Health Nurse Practitioner
  • Nashville, TN
National Provider Identifier
1336411313
Registry record updated Jun 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
16488 Issued in TN
Practice address
4928 Edmondson Pike Ste 205
Nashville, TN 37211-4791
Phone
(615) 222-1400
Fax
(615) 222-1410
NPI assigned
Feb 6, 2012
Last updated
Jun 20, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2022

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 16488 TN Primary

Addresses

Primary practice location

4928 Edmondson Pike Ste 205
Nashville, TN 37211-4791

Mailing address

300 20TH Ave N Ste 403
Nashville, TN 37203-5180
Phone (615) 284-4088

Other practice location 1

510 E Main St
Gallatin, TN 37066-2458
Phone (615) 452-1354

Other practice location 2

6130 Nolensville Pike Ste 205
Nashville, TN 37211-6813
Phone (615) 284-1450

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
I20120323000369 TN Practitioner - Nurse Practitioner 3375703689 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Vanderbilt University School of Medicine, 2011
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Open Minds Mental Health LLCGroup PAC ID 5991233272, 5 clinicians

Practice addresses (Care Compare)

204 Bluebird Dr
Goodlettsville, TN 37072-2302
Phone (615) 212-8887

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16488TNMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Volunteer Behavioral Health Care System CurrentSince Mar 1, 2012 Accepting new patients
Saint Thomas Medical Partners CurrentSince Dec 7, 2020 Accepting new patients
Open Minds Mental Health LLC CurrentSince Oct 21, 2024 Accepting new patients
Volunteer Behavioral Health Care System Past 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

510 E Main St
Gallatin, TN 37066
Phone (615) 328-6690

204 Bluebird Dr
Goodlettsville, TN 37072
Phone (615) 212-8887

206 Bluebird Dr
Goodlettsville, TN 37072
Phone (615) 212-8887

118 N Church St
Murfreesboro, TN 37130
Phone (615) 278-2241

300 20th Ave N
Ste 403
Nashville, TN 37203
Phone (615) 284-4088

4928 Edmonson Pike
Ste 205
Nashville, TN 37211
Phone (615) 222-1400

Interoperability endpoints

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

Organizations & group practices 4

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": "1328486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655683200000",
    "number": "1336411313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 20TH AVE N STE 403",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372035180",
            "telephone_number": "615-284-4088",
            "fax_number": "615-284-7501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4928 EDMONDSON PIKE STE 205",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372114791",
            "telephone_number": "615-222-1400",
            "fax_number": "615-222-1410"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "510 E Main St",
            "address_purpose": "LOCATION",
            "city": "Gallatin",
            "state": "TN",
            "postal_code": "370662458",
            "country_code": "US",
            "telephone_number": "615-452-1354",
            "fax_number": "615-452-1356",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6130 Nolensville Pike Ste 205",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372116813",
            "country_code": "US",
            "telephone_number": "615-284-1450",
            "fax_number": "629-208-2691",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DULIN",
        "first_name": "LUIS",
        "middle_name": "W",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-02-06",
        "last_updated": "2022-06-20",
        "certification_date": "2022-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "16488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.