Individual provider Active NPI

Stasha Nicole Hampton, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Nashville, TN
National Provider Identifier
1407522980
Registry record updated Sep 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN000029733 Issued in TN
Practice address
5906 Charlotte Pike Ste D
Nashville, TN 37209-3181
Phone
(629) 888-4161
Fax
(629) 888-4154
NPI assigned
Aug 17, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X 29733 TN
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN000029733 TN Primary

Addresses

Primary practice location

5906 Charlotte Pike Ste D
Nashville, TN 37209-3181

Mailing address

5906 Charlotte Pike Ste D
Nashville, TN 37209-3181
Phone (629) 888-4161

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
I20211103001652 TN Practitioner - Nurse Practitioner 8022406420 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Marian University College of Osteopathic Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

5906 Charlotte Pike
Suite D
Nashville, TN 37209-3181
Phone (629) 888-4161

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
29733TNMDPsychiatric/Mental Health Nurse Practitioner
APRN000029733TNMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nashville Brain Institute Single Specialty CurrentSince Jul 15, 2021 Accepting new patients
Prosperity Mental Wellness Center, LLC Single Specialty CurrentSince Aug 20, 2023 Accepting new patients

Locations

7110 Crossroads Blvd
Ste 400
Brentwood, TN 37027
Phone (615) 208-9499

5651 Frist Blvd
Ste 717
Hermitage, TN 37076
Phone (615) 316-9511

2000 Glen Echo Rd
Ste 101
Nashville, TN 37215
Phone (615) 260-1949

2410 Patterson St
Ste 210
Nashville, TN 37203
Phone (615) 340-4000

5906 Charlotte Pike
Ste D
Nashville, TN 37209
Phone (615) 828-0884

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": "1629158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694044800000",
    "number": "1407522980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5906 CHARLOTTE PIKE STE D",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372093181",
            "telephone_number": "629-888-4161",
            "fax_number": "629-888-4154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5906 CHARLOTTE PIKE STE D",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372093181",
            "telephone_number": "629-888-4161",
            "fax_number": "629-888-4154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMPTON",
        "first_name": "STASHA",
        "middle_name": "NICOLE",
        "credential": "APRN, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-17",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "29733",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "APRN000029733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.