Individual provider Active NPI

Stephanie Preston, NP

  • Family Nurse Practitioner
  • Nashville, TN
National Provider Identifier
1447882840
Registry record updated Jun 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
36270 Issued in TN
Practice address
426 21St Ave S
Nashville, TN 37203-2424
Phone
(210) 875-5805
NPI assigned
Feb 4, 2020
Last updated
Jun 27, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2024

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 71009681A IN
Family Nurse Practitioner 363LF0000X 36270 TN Primary

Addresses

Primary practice location

426 21St Ave S
Nashville, TN 37203-2424

Mailing address

301 Royal Oaks Blvd Apt 3616
Franklin, TN 37067-4486
Phone (210) 875-5808

Other practice location 1

1545 N Meridian St
Indianapolis, IN 46202-2306
Phone (317) 663-7123

Other identifiers 1

IdentifierTypeStateIssuer
71009681AOtherINSTATE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, TN2 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
I20200430001839 IN Practitioner - Nurse Practitioner 1052741295 Reassigns benefits to 1 organization
I20240823003196 TN Practitioner - Nurse Practitioner 1052741295 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
36270TNMDEmergency Medicine Physician
71009681AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lord of Heaven's Armies LLC Family Current Accepting new patients
Crossroads Urgent Care PLLC Family CurrentSince Oct 1, 2024 Accepting new patients
Crossroads Urgent Care PLLC Family CurrentSince Oct 1, 2024 Accepting new patients
Saint Thomas Medical Partners CurrentSince Dec 15, 2024 Accepting new patients
Health and Wellness of Carmel, LLC CurrentSince Jun 20, 2022 Accepting new patients
Major Hospital Past Accepting new patients

Locations

11900 Pennsylvania St
Ste 200
Carmel, IN 46032
Phone (317) 663-7123

509 Hillsboro Rd
Franklin, TN 37064
Phone (615) 472-2139

2445 Memorial Blvd
Ste C
Murfreesboro, TN 37129
Phone (615) 217-6900

300 20th Ave N
Fl 9
Nashville, TN 37203

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

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": "1580774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719446400000",
    "number": "1447882840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 ROYAL OAKS BLVD APT 3616",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370674486",
            "telephone_number": "210-875-5808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "426 21ST AVE S",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372032424",
            "telephone_number": "210-875-5805"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1545 N Meridian St",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462022306",
            "country_code": "US",
            "telephone_number": "317-663-7123",
            "fax_number": "317-587-0496",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRESTON",
        "first_name": "STEPHANIE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-04",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71009681A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "36270",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE",
            "identifier": "71009681A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.