Individual provider Active NPI

Carol Susan Lehman, CFNP

  • Nurse Practitioner
  • Cordova, TN
National Provider Identifier
1497714158
Registry record updated Feb 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
36356 Issued in TN
Practice address
765 Woodland Trace LN
Cordova, TN 38018-6609
Phone
(888) 551-2538
Fax
(844) 364-2629
NPI assigned
Mar 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APN.0002558-NP CO
Nurse Practitioner 363L00000X 84215 CO
Nurse Practitioner 363L00000X 36356 TN Primary

Addresses

Primary practice location

765 Woodland Trace LN
Cordova, TN 38018-6609

Mailing address

765 Woodland Trace LN
Cordova, TN 38018-6609
Phone (888) 551-2538

Other identifiers 2

IdentifierTypeStateIssuer
42783551MedicaidCO
Q096920MedicaidTN

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
I20250130001304 TN Practitioner - Nurse Practitioner 7416171632 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Segue Health Partners LLCGroup PAC ID 5496020521, 29 clinicians

Practice addresses (Care Compare)

765 Woodland Trace LN
Cordova, TN 38018-6609
Phone (901) 626-3515

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
84215COMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Segue Health Partners LLC CurrentSince Oct 3, 2024 Accepting new patients
Community Health Center of the Black Hills, Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: carol.lehman.p4@direct.clinicafamilyhealth.nextgenshare.com

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740441600000",
    "number": "1497714158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "765 WOODLAND TRACE LN",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380186609",
            "telephone_number": "888-551-2538",
            "fax_number": "844-364-2629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "765 WOODLAND TRACE LN",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380186609",
            "telephone_number": "888-551-2538",
            "fax_number": "844-364-2629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEHMAN",
        "first_name": "CAROL",
        "middle_name": "SUSAN",
        "credential": "CFNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-21",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "APN.0002558-NP",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "84215",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "36356",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42783551",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q096920",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cordova, TN

Sources for this page

Verify at the official NPI Registry.