Active NPI
Nicole Elise Libert, PMHNP, APRN
- Psychiatric/Mental Health Nurse Practitioner
- Columbia, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 32661
- Practice address
- 100 Berrywood Dr
Columbia, TN 38401-6408 - Phone
- (866) 816-0433
- NPI assigned
- Sep 15, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 32661 | TN | Primary |
Addresses
Primary practice location
100 Berrywood Dr
Columbia, TN 38401-6408
Mailing address
275 Cumberland BND
Nashville, TN 37228-1805
Phone (615) 726-3340
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
500 28TH Ave N
Suite 210
Nashville, TN 37209-4456
Phone (888) 374-5066
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32661 | TN | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Care Center, LLC | Current | Accepting new patients | |
| Mental Health Cooperative, Inc | Current | Accepting new patients | |
| Family Care Center, LLC | Psychiatric/Mental Health | Current | Accepting new patients |
Locations
100 Berrywood Dr
Columbia, TN 38401
Phone (615) 726-3340
5030 Carothers Pkwy
Ste 120
Franklin, TN 37067
Phone (615) 534-2176
275 Cumberland Bnd
Nashville, TN 37228
Phone (615) 726-3340
500 28th Ave N
Ste 210
Nashville, TN 37209
Phone (615) 208-2908
Interoperability endpoints
- https://api.platform.athenahealth.com/15315/brand/1/csg/1/fhir/r4
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 and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Franklin, TN
- NPI 1124756085
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Nashville, TN
- NPI 1083632897
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663200000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667520000000",
"number": "1578285557",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "275 CUMBERLAND BND",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372281805",
"telephone_number": "615-726-3340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 BERRYWOOD DR",
"city": "COLUMBIA",
"state": "TN",
"postal_code": "384016408",
"telephone_number": "866-816-0433"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIBERT",
"first_name": "NICOLE",
"middle_name": "ELISE",
"credential": "PMHNP, APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-15",
"last_updated": "2022-11-04",
"certification_date": "2022-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "TN",
"license": "32661",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.