Individual provider Active NPI

Caroline Mauldin, FNP-C

  • Family Nurse Practitioner
  • Hendersonville, TN
National Provider Identifier
1518506369
Registry record updated Jul 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN0000026828 Issued in TN
Practice address
125A Haven St
Hendersonville, TN 37075-3622
Phone
(615) 499-4545
Fax
(615) 499-4546
NPI assigned
Dec 26, 2019
Last updated
Jul 16, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN0000026828 TN Primary

Addresses

Primary practice location

125A Haven St
Hendersonville, TN 37075-3622

Mailing address

132 Vintage Cir
Hendersonville, TN 37075-4082
Phone (615) 598-8292

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
I20210226000784 TN Practitioner - Nurse Practitioner 2769897693 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Vanderbilt University School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Diagnostic Imaging PCGroup PAC ID 7315848140, 523 clinicians

Practice addresses (Care Compare)

107 Glen Oak Blvd
Suite 201B
Hendersonville, TN 37075-3000
Phone (615) 499-4545

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN0000026828TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Diagnostic Imaging, PC CurrentSince Nov 21, 2022 Accepting new patients
SHC Medical Partners of Tennessee, LLC CurrentSince Dec 7, 2020 Accepting new patients
Advanced Diagnostic Imaging PC CurrentSince Nov 21, 2022 Accepting new patients

Locations

12201 Bluegrass Pkwy
Louisville, KY 40299
Phone (502) 568-7364

805 N Whittington Pkwy
Ste 400
Louisville, KY 40222
Phone (502) 272-3438

3024 Business Park Cir
Goodlettsvlle, TN 37072
Phone (615) 239-2018

107 Glen Oak Blvd
Ste 201B
Hendersonville, TN 37075
Phone (615) 499-4545

125A Haven St
Hendersonville, TN 37075
Phone (615) 499-4545

410 W Crawford Ave
Monterey, TN 38574
Phone (931) 537-6524

3443 Dickerson Pike
Ste 400
Nashville, TN 37207
Phone (615) 612-2146

415 Cole Dr
Pigeon Forge, TN 37863
Phone (865) 428-5454

215 Highland Circle Dr
Portland, TN 37148
Phone (615) 325-9263

Interoperability endpoints

  • Direct secure messaging: caroline.mauldin@ahp.eclinicaldirectplus.com

Organizations & group practices 3

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1577318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721088000000",
    "number": "1518506369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 VINTAGE CIR",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370754082",
            "telephone_number": "615-598-8292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125A HAVEN ST",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370753622",
            "telephone_number": "615-499-4545",
            "fax_number": "615-499-4546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAULDIN",
        "first_name": "CAROLINE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-26",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000026828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hendersonville, TN

Sources for this page

Verify at the official NPI Registry.