Active NPI
Shristi Shrestha, MD
- Psychiatry Physician
- La Vergne, TN
National Provider Identifier
1487210464
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 67992
- Practice address
- 336 Delta Way
La Vergne, TN 37086-2157 - Phone
- (917) 703-0348
- Fax
- (855) 551-6756
- NPI assigned
- May 14, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 67992 | TN | Primary |
Addresses
Primary practice location
336 Delta Way
La Vergne, TN 37086-2157
Mailing address
336 Delta Way
La Vergne, TN 37086-2157
Phone (917) 703-0348
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
9020 Overlook Blvd
Suite 130
Brentwood, TN 37027-3259
Phone (865) 500-2690
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 67992 | TN | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthy Mind Counseling Services, Inc | Current | Accepting new patients |
Locations
9020 Overlook Blvd
Ste 130
Brentwood, TN 37027
Phone (865) 219-3026
6305 Lonas Dr
Ste 101
Knoxville, TN 37909
Phone (865) 584-0291
10142 Parkside Dr
Ste 114
Knoxville, TN 37922
Interoperability endpoints
- lifestancehealth.shresthashristi@148560.advancedmd-direct.com
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 and National Provider Directory roles.
-
- Clinical Social Worker
- Knoxville, TN
- NPI 1457409898
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744934400000",
"number": "1487210464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "336 DELTA WAY",
"city": "LA VERGNE",
"state": "TN",
"postal_code": "370862157",
"telephone_number": "917-703-0348"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "336 DELTA WAY",
"city": "LA VERGNE",
"state": "TN",
"postal_code": "370862157",
"telephone_number": "917-703-0348",
"fax_number": "855-551-6756"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHRESTHA",
"first_name": "SHRISTI",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-14",
"last_updated": "2025-04-18",
"certification_date": "2025-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TN",
"license": "67992",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in La Vergne, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.