Individual provider Active NPI

Joshua Naeger

  • Family Nurse Practitioner
  • Cordova, TN
National Provider Identifier
1356818819
Registry record updated Aug 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
29782 Issued in TN
Practice address
765 Woodland Trace LN
Cordova, TN 38018-6609
Phone
(888) 851-2538
NPI assigned
Nov 1, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95010202 CA
Family Nurse Practitioner 363LF0000X 29782 TN Primary
Nurse Practitioner 363L00000X 95010202 CA

Addresses

Primary practice location

765 Woodland Trace LN
Cordova, TN 38018-6609

Mailing address

765 Woodland Trace LN
Cordova, TN 38018-6609
Phone (888) 851-2538

Other practice location 1

8715 Center Pkwy
Sacramento, CA 95823-7921
Phone (916) 245-8888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, MI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220121001547 TN Practitioner - Nurse Practitioner 1254764483 Reassigns benefits to 3 organizations
I20250531000050 MI Practitioner - Nurse Practitioner 1254764483 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95010202CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
App of Tennessee HM, PLLC Nurse Practitioner CurrentSince Jan 22, 2022 Accepting new patients
Segue Health Partners LLC CurrentSince Aug 17, 2023 Accepting new patients
Signify Health Medical Associates, PLLC Nurse Practitioner CurrentSince Jun 16, 2024 Accepting new patients

Locations

13 N Washington St
Ypsilanti, MI 48197
Phone (734) 329-4620

5121 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 436-6556

300 Montvue Rd
Knoxville, TN 37919
Phone (818) 613-6769

435 2nd St
Newport, TN 37821
Phone (423) 625-2200

2835 Highway 231 N
Shelbyville, TN 37160
Phone (931) 685-5433

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

4055 Valley View Ln
Ste 700
Dallas, TX 75244
Phone (469) 466-7424

Organizations & group practices 3

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": "1541030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692230400000",
    "number": "1356818819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "765 WOODLAND TRACE LN",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380186609",
            "telephone_number": "888-851-2538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "765 WOODLAND TRACE LN",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380186609",
            "telephone_number": "888-851-2538"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8715 Center Pkwy",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958237921",
            "country_code": "US",
            "telephone_number": "916-245-8888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NAEGER",
        "first_name": "JOSHUA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-11-01",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95010202",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "29782",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95010202",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cordova, TN

Sources for this page

Verify at the official NPI Registry.