Individual provider Active NPI

Charla Edith Walston, AGACNP-BC

  • Acute Care Nurse Practitioner
  • Nashville, TN
National Provider Identifier
1548632821
Registry record updated Mar 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
20574 Issued in TN
Practice address
3601 The Vanderbilt Clinic
Nashville, TN 37232-0028
Phone
(615) 936-2000
NPI assigned
Oct 26, 2015
Last updated
Mar 15, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 20574 TN Primary
Gerontology Nurse Practitioner 363LG0600X APN20574 TN
Medical-Surgical Registered Nurse 163WM0705X 132929 TN

Addresses

Primary practice location

3601 The Vanderbilt Clinic
Nashville, TN 37232-0028

Mailing address

3841 Green Hills Village Dr Ste 200
Nashville, TN 37215-2691

Other practice location 1

1301 Medical Center Dr
TVC 1710
Nashville, TN 37232-0028
Phone (615) 936-8422

Other practice location 2

719 Thompson Ln Ste 23300
Nashville, TN 37204-4686
Phone (615) 936-3606

Other practice location 3

2009 Mallory Ln Ste 150
Franklin, TN 37067-2872
Phone (615) 771-8668

Other practice location 4

337 22nd Ave N
Nashville, TN 37203-1840
Phone (615) 327-1500

Other practice location 5

1909 Acklen Ave
Nashville, TN 37212-3713
Phone (615) 777-9729

Other practice location 6

4525 Harding Pike Ste 102
Nashville, TN 37205-2145
Phone (615) 463-3034

Electronic endpoints 5

TypeEndpointUseAffiliation
Direct Messaging Address cwalston17825@direct.vumc.org Direct Vanderbilt Imaging Services, LLC
Direct Messaging Address cwalston17825@direct.vumc.org Direct Williamson Imaging, LLC
Direct Messaging Address cwalston17825@direct.vumc.org Direct
Direct Messaging Address cwalston17825@direct.vumc.org Direct Vanderbilt Imaging Services, LLC
Direct Messaging Address cwalston17825@direct.vumc.org Direct One Hundred Oaks Imaging,LLC

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
I20160302000704 TN Practitioner - Nurse Practitioner 5597060483 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Saint Thomas Medical PartnersGroup PAC ID 1557269354, 588 clinicians

Practice addresses (Care Compare)

300 20TH Ave N
Nashville, TN 37203-2131
Phone (615) 284-1400

4220 Harding Pike
Nashville, TN 37205-2005
Phone (615) 222-6977

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
132929TNMDMedical-Surgical Registered Nurse
APN20574TNMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vanderbilt Imaging Services, LLC CurrentSince Apr 4, 2018 Accepting new patients
One Hundred Oaks Imaging, LLC Acute Care CurrentSince Apr 4, 2018 Accepting new patients
Saint Thomas Medical Partners CurrentSince Oct 1, 2023 Accepting new patients
Saint Thomas Medical Partners CurrentSince Oct 1, 2023 Accepting new patients
Williamson Imaging, LLC CurrentSince Apr 4, 2018 Accepting new patients
Vanderbilt University Medical Center Past Accepting new patients
Tuhc Radiology Group LLC Past Accepting new patients

Locations

2009 Mallory Ln
Ste 150
Franklin, TN 37067
Phone (615) 771-8668

1909 Acklen Ave
Nashville, TN 37212
Phone (615) 777-9729

300 20th Ave N
Fl 9
Nashville, TN 37203

337 22nd Ave N
Nashville, TN 37203
Phone (615) 327-1500

3841 Green Hills Village Dr
Ste 200
Nashville, TN 37215
Phone (615) 322-6842

4230 Harding Pike
Ste 530
Nashville, TN 37205
Phone (615) 222-5500

4525 Harding Pike
Ste 102
Nashville, TN 37205
Phone (615) 463-3034

719 Thompson Ln
Ste 23300
Nashville, TN 37204
Phone (615) 936-3606

Interoperability endpoints

  • Direct secure messaging: charla.walston.1@7654.direct.athenahealth.com
  • Direct secure messaging: cwalston17825@direct.vumc.org

Organizations & group practices 7

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 1

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": "1445817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647302400000",
    "number": "1548632821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3841 GREEN HILLS VILLAGE DR STE 200",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372152691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 THE VANDERBILT CLINIC",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372320028",
            "telephone_number": "615-936-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1301 Medical Center Dr",
            "address_2": "TVC 1710",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372320028",
            "country_code": "US",
            "telephone_number": "615-936-8422",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "719 Thompson Ln Ste 23300",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372044686",
            "country_code": "US",
            "telephone_number": "615-936-3606",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2009 Mallory Ln Ste 150",
            "address_purpose": "LOCATION",
            "city": "Franklin",
            "state": "TN",
            "postal_code": "370672872",
            "country_code": "US",
            "telephone_number": "615-771-8668",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "337 22nd Ave N",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372031840",
            "country_code": "US",
            "telephone_number": "615-327-1500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1909 Acklen Ave",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372123713",
            "country_code": "US",
            "telephone_number": "615-777-9729",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4525 Harding Pike Ste 102",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372052145",
            "country_code": "US",
            "telephone_number": "615-463-3034",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALSTON",
        "first_name": "CHARLA",
        "middle_name": "EDITH",
        "credential": "AGACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-26",
        "last_updated": "2022-03-15",
        "certification_date": "2022-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TN",
            "license": "20574",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TN",
            "license": "APN20574",
            "primary": false
        },
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "TN",
            "license": "132929",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cwalston17825@direct.vumc.org",
            "affiliation": "Y",
            "affiliationName": "Vanderbilt Imaging Services, LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Health Information Service Provider",
            "address_1": "1909 Acklen Ave",
            "city": "Nashville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "372123713",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cwalston17825@direct.vumc.org",
            "affiliation": "Y",
            "affiliationName": "Williamson Imaging, LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Health Information Service Provider",
            "address_1": "2009 Mallory Ln Ste 150",
            "city": "Franklin",
            "state": "TN",
            "country_code": "US",
            "postal_code": "370672872",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cwalston17825@direct.vumc.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Health Information Service Provider",
            "address_1": "3601 The Vanderbilt Clinic",
            "city": "Nashville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "372320028",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cwalston17825@direct.vumc.org",
            "affiliation": "Y",
            "affiliationName": "Vanderbilt Imaging Services, LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Health Information Service Provider",
            "address_1": "4525 Harding Pike Ste 102",
            "city": "Nashville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "372052145",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cwalston17825@direct.vumc.org",
            "affiliation": "Y",
            "affiliationName": "One Hundred Oaks Imaging,LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Health Information Service Provider",
            "address_1": "719 Thompson Ln Ste 23300",
            "city": "Nashville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "372044686",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.