Individual provider Active NPI

Kady Stewart, APRN

  • Family Nurse Practitioner
  • Brentwood, TN
National Provider Identifier
1396504577
Registry record updated Apr 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
36045 Issued in TN
Practice address
9019 Overlook Blvd Ste C1B
Brentwood, TN 37027-2737
Phone
(615) 274-9767
NPI assigned
Mar 18, 2024
Last updated
Apr 3, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 36045 TN Primary

Addresses

Primary practice location

9019 Overlook Blvd Ste C1B
Brentwood, TN 37027-2737

Mailing address

500 Edwin St
Nashville, TN 37207-5204
Phone (615) 712-3795

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
I20240409002382 TN Practitioner - Nurse Practitioner 0143668228 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment
Group practices
Theoria MedicalGroup PAC ID 5395098339, 317 clinicians
Complexcare Medical Group Mid-Atlantic H PLLCGroup PAC ID 6709382831, 24 clinicians

Practice addresses (Care Compare)

901 N Charlotte St
Dickson, TN 37055-1010
Phone (615) 446-5171

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
36045TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Complexcare Medical Group Mid-Atlantic H PLLC CurrentSince Sep 17, 2025 Accepting new patients
Theoria Medical CurrentSince Nov 25, 2024 Accepting new patients
Iris Medical Group Family CurrentSince Mar 4, 2024 Accepting new patients
Iris Wound Care, PC Past Accepting new patients

Locations

41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763

9019 Overlook Blvd
Ste C1B
Brentwood, TN 37027

901 N Charlotte St
Dickson, TN 37055
Phone (615) 446-0808

1 Veterans Way
Knoxville, TN 37931
Phone (865) 388-0911

5081 Easley Ave
Millington, TN 38053
Phone (901) 873-3290

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": "1710720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712102400000",
    "number": "1396504577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 EDWIN ST",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372075204",
            "telephone_number": "615-712-3795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9019 OVERLOOK BLVD STE C1B",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370272737",
            "telephone_number": "615-274-9767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "KADY",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-18",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "36045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brentwood, TN

Sources for this page

Verify at the official NPI Registry.