Individual provider Active NPI

Nina Bryce Cobb, APRN PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Antioch, TN
National Provider Identifier
1477262384
Registry record updated Oct 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
34752 Issued in TN
Practice address
1309 Bell Rd Ste 201
Antioch, TN 37013-3827
Phone
(866) 816-0433
NPI assigned
Nov 18, 2022
Last updated
Oct 18, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 34752 TN Primary

Addresses

Primary practice location

1309 Bell Rd Ste 201
Antioch, TN 37013-3827

Mailing address

275 Cumberland BND
Nashville, TN 37228-1805
Phone (615) 726-3340

Other practice location 1

100 Berrywood Dr
Columbia, TN 38401-6408
Phone (866) 816-0433

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
I20231031003841 TN Practitioner - Nurse Practitioner 9830545565 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mental Health Cooperative, IncGroup PAC ID 5496798399, 47 clinicians

Practice addresses (Care Compare)

1309 Bell Rd
Suite 201
Antioch, TN 37013-3827
Phone (866) 816-0433

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Cooperative, Inc CurrentSince Oct 4, 2023 Accepting new patients

Locations

1309 Bell Rd
Ste 201
Antioch, TN 37013
Phone (773) 715-4850

100 Berrywood Dr
Columbia, TN 38401
Phone (615) 726-3340

1632 Gateway Blvd
Murfreesboro, TN 37129
Phone (615) 904-6490

275 Cumberland Bnd
Nashville, TN 37228
Phone (615) 726-3340

Organizations & group practices 1

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": "1668729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697587200000",
    "number": "1477262384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 CUMBERLAND BND",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372281805",
            "telephone_number": "615-726-3340",
            "fax_number": "615-743-1679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1309 BELL RD STE 201",
            "city": "ANTIOCH",
            "state": "TN",
            "postal_code": "370133827",
            "telephone_number": "866-816-0433"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Berrywood Dr",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "TN",
            "postal_code": "384016408",
            "country_code": "US",
            "telephone_number": "866-816-0433",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COBB",
        "first_name": "NINA",
        "middle_name": "BRYCE",
        "name_prefix": "Ms.",
        "credential": "APRN PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-18",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "34752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Antioch, TN

Sources for this page

Verify at the official NPI Registry.