Individual provider Active NPI

Nada Salloukh, DNP, APRN, FNP-C

  • Family Nurse Practitioner
  • Jackson, TN
National Provider Identifier
1487490975
Registry record updated Jun 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
36722 Issued in TN
Practice address
25 Steeplechase Dr
Jackson, TN 38305-7708
Phone
(731) 616-6204
NPI assigned
Jul 3, 2024
Last updated
Jun 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2025

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 36722 TN Primary
Registered Nurse 163W00000X 246946 TN

Addresses

Primary practice location

25 Steeplechase Dr
Jackson, TN 38305-7708

Mailing address

25 Steeplechase Dr
Jackson, TN 38305-7708

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
I20250604003441 TN Practitioner - Nurse Practitioner 7214446731 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Tennessee, HSC, College of Medicine, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fast Pace Medical Clinic PLLCGroup PAC ID 5395881841, 737 clinicians

Practice addresses (Care Compare)

2054 S Highland Ave
Jackson, TN 38301-7741
Phone (731) 499-8708

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
246946TNMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Fast Pace Medical Clinic PLLC CurrentSince May 1, 2025 Accepting new patients
South Jackson Medical & Wellness Center LLC CurrentSince Mar 14, 2025 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince May 1, 2025 Accepting new patients
Upperline Healthcare, PC CurrentSince Sep 1, 2025 Accepting new patients
Upperline Healthcare, PC CurrentSince Sep 1, 2025 Accepting new patients
Primary Care - South Limited Past Accepting new patients

Locations

7348 E Brainerd Rd
Chattanooga, TN 37421
Phone (205) 822-8038

1385 S Highland Ave
Ste B1
Jackson, TN 38301
Phone (731) 251-3470

2054 S Highland Ave
Jackson, TN 38301
Phone (731) 499-8708

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": "1719964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750550400000",
    "number": "1487490975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 STEEPLECHASE DR",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383057708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 STEEPLECHASE DR",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383057708",
            "telephone_number": "731-616-6204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALLOUKH",
        "first_name": "NADA",
        "credential": "DNP, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-03",
        "last_updated": "2025-06-22",
        "certification_date": "2025-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "36722",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "246946",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, TN

Sources for this page

Verify at the official NPI Registry.