Active NPI
Music City Peds: Developmental & Behavioral Medicine
- Medical Specialty Clinic/Center
- Brentwood, TN
National Provider Identifier
1417404666
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- License
- 21660
- Legal business name
- MUSIC CITY PEDS: DEVELOPMENTAL & BEHAVIORAL MEDICINE
- Practice address
- 5409 Maryland Way
Suite 202
Brentwood, TN 37027-5037 - Phone
- (615) 373-9955
- Fax
- (615) 373-2001
- NPI assigned
- Sep 6, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Caitlin Nicholl Rissler, NP
- Title
- Nurse Practitioner/Owner
- Phone
- (615) 207-7986
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Specialty Clinic/Center | 261QM2500X | 21660 | TN | Primary |
Addresses
Primary practice location
5409 Maryland Way
Suite 202
Brentwood, TN 37027-5037
Mailing address
5409 Maryland Way
Suite 202
Brentwood, TN 37027-5037
Phone (615) 373-9955
National Provider Directory
National Provider DirectoryLocations
5409 Maryland Way
Ste 202
Brentwood, TN 37027
Phone (615) 373-9955
Interoperability endpoints
- https://api.platform.athenahealth.com/25224/brand/1/csg/1/fhir/r4
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473120000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1473120000000",
"number": "1417404666",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5409 MARYLAND WAY",
"address_2": "SUITE 202",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370275037",
"telephone_number": "615-373-9955",
"fax_number": "615-373-2001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5409 MARYLAND WAY",
"address_2": "SUITE 202",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370275037",
"telephone_number": "615-373-9955",
"fax_number": "615-373-2001"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MUSIC CITY PEDS: DEVELOPMENTAL & BEHAVIORAL MEDICINE",
"organizational_subpart": "NO",
"enumeration_date": "2016-09-06",
"last_updated": "2016-09-06",
"status": "A",
"authorized_official_last_name": "RISSLER",
"authorized_official_first_name": "CAITLIN",
"authorized_official_middle_name": "NICHOLL",
"authorized_official_title_or_position": "NURSE PRACTITIONER/OWNER",
"authorized_official_telephone_number": "615-207-7986",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": "TN",
"license": "21660",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brentwood, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.