Individual provider Active NPI

Mary Leigh Spencer, RN, FNP-BC

  • Family Nurse Practitioner
  • Nashville, TN
National Provider Identifier
1558757351
Registry record updated Jun 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
19840 Issued in TN
Practice address
4928 Edmondson Pike
Nashville, TN 37211-4787
Phone
(615) 222-1400
NPI assigned
Apr 8, 2015
Last updated
Jun 22, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2021

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 19840 TN Primary

Addresses

Primary practice location

4928 Edmondson Pike
Nashville, TN 37211-4787

Mailing address

6330 Saint Henry Dr
Nashville, TN 37205-4121
Phone (615) 424-9776

Other practice location 1

601 W Due West Ave
Madison, TN 37115-4423
Phone (615) 227-3000

Other names 1

  • Mary Leigh Youssi Former name

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
I20150601000640 TN Practitioner - Nurse Practitioner 8729309976 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Thomas Medical Partners CurrentSince May 11, 2015 Accepting new patients

Locations

300 20th Ave N
Fl 9
Nashville, TN 37203

4928 Edmondson Pike
Nashville, TN 37211
Phone (615) 222-1400

4928 Edmonson Pike
Ste 205
Nashville, TN 37211
Phone (615) 222-1400

501 Great Circle Rd
Ste 200
Nashville, TN 37228
Phone (615) 396-4694

Interoperability endpoints

  • Direct secure messaging: mary.youssi.1@7654.direct.athenahealth.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, 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": "1428451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624320000000",
    "number": "1558757351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6330 SAINT HENRY DR",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372054121",
            "telephone_number": "615-424-9776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4928 EDMONDSON PIKE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372114787",
            "telephone_number": "615-222-1400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 W Due West Ave",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "TN",
            "postal_code": "371154423",
            "country_code": "US",
            "telephone_number": "615-227-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "MARY",
        "middle_name": "LEIGH",
        "name_prefix": "Mrs.",
        "credential": "RN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-08",
        "last_updated": "2021-06-22",
        "certification_date": "2021-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "19840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "YOUSSI",
            "middle_name": "LEIGH",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.