Organization Active NPI

Music City Peds: Developmental & Behavioral Medicine

  • Medical Specialty Clinic/Center
  • Brentwood, TN
National Provider Identifier
1417404666
Registry record updated Sep 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
21660 Issued in TN
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

Updated by the provider on Sep 6, 2016

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)CodeLicenseStatePrimary
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 Directory

Locations

5409 Maryland Way
Ste 202
Brentwood, TN 37027
Phone (615) 373-9955

Interoperability endpoints

  • FHIR API: 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.

Verify at the official NPI Registry.