Individual provider Active NPI

Brandy R Robertson, FNP

  • Family Nurse Practitioner
  • Clarksville, TN
National Provider Identifier
1427566280
Registry record updated Mar 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
23703 Issued in TN
Practice address
3020 Eliza Dr
Clarksville, TN 37043-1591
Phone
(808) 291-0199
NPI assigned
Jan 15, 2018
Last updated
Mar 20, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 23703 TN Primary
Nurse Practitioner 363L00000X 23703 TN

Addresses

Primary practice location

3020 Eliza Dr
Clarksville, TN 37043-1591

Mailing address

3020 Eliza Dr
Clarksville, TN 37043-1591

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, KY2 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
I20180828003133 TN Practitioner - Nurse Practitioner 5294090817
I20190123003682 KY Practitioner - Nurse Practitioner 5294090817 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
23703TNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Brock Medical, LLC Nurse Practitioner CurrentSince Dec 5, 2018 Accepting new patients
Advanced Diagnostic Imaging, PC Nurse Practitioner CurrentSince May 22, 2019 Accepting new patients
Fast Pace Kentucky PLLC CurrentSince Dec 5, 2018 Accepting new patients
Advanced Diagnostic Imaging PC CurrentSince May 22, 2019 Accepting new patients
FC Indiana, LLC Nurse Practitioner Past Accepting new patients
Clarksville Sportsmed & Wellness Family PastSince Jun 21, 2018 Accepting new patients

Locations

15100 N US Highway 25 E
Ste 1
Corbin, KY 40701
Phone (606) 261-2054

1649 Highway 192 W
London, KY 40741
Phone (606) 330-0055

5801 Crossings Blvd
Antioch, TN 37013
Phone (615) 771-3033

1642 Westgate Cir
Ste 201
Brentwood, TN 37027

776 Weatherly Dr
Ste B
Clarksville, TN 37043
Phone (615) 941-8538

851 S Willow Ave
Ste 112
Cookeville, TN 38501
Phone (615) 941-8538

405 Steam Plant Rd
Ste 200
Gallatin, TN 37066
Phone (615) 445-3774

3024 Business Park Cir
Goodlettsvlle, TN 37072
Phone (615) 239-2018

320 New Shackle Island Rd
Hendersonville, TN 37075

40 W Caldwell St
Ste 200
Mt Juliet, TN 37122
Phone (615) 553-5640

1547 Warrior Dr
Ste A
Murfreesboro, TN 37128
Phone (615) 941-8538

2222 State St
Ste C
Nashville, TN 37203
Phone (615) 329-0131

28 White Bridge Pike
Ste 108
Nashville, TN 37205
Phone (615) 352-1212

300 20th Ave N
Ste 600
Nashville, TN 37203
Phone (615) 284-2214

3443 Dickerson Pike
Ste 400
Nashville, TN 37207
Phone (615) 612-2146

Interoperability endpoints

  • Direct secure messaging: brandy.robertson@ahp.eclinicaldirectplus.com

Organizations & group practices 6

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": "1515974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773964800000",
    "number": "1427566280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3020 ELIZA DR",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370431591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3020 ELIZA DR",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370431591",
            "telephone_number": "808-291-0199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "BRANDY",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-15",
        "last_updated": "2026-03-20",
        "certification_date": "2026-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "23703",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "23703",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, TN

Sources for this page

Verify at the official NPI Registry.