Individual provider Active NPI

William Freeman Siegal, M.ED./ED.S., MSN

  • Psychiatric/Mental Health Nurse Practitioner
  • Franklin, TN
National Provider Identifier
1598014201
Registry record updated Aug 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
25032 Issued in TN
Practice address
1113 Murfreesboro Rd Ste 319
Franklin, TN 37064-1312
Phone
(615) 790-0567
Fax
(615) 814-2924
NPI assigned
Sep 10, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 225341 TN
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 25032 TN Primary
Mental Health Counselor 101YM0800X IMH8933 FL

Addresses

Primary practice location

1113 Murfreesboro Rd Ste 319
Franklin, TN 37064-1312

Mailing address

1113 Murfreesboro Rd Ste 319
Franklin, TN 37064-1312
Phone (615) 790-0567

Other practice location 1

401 McEwen Dr
Niceville, FL 32578-2741
Phone (850) 833-9237

Other practice location 2

1921 Ransom Pl
Nashville, TN 37217
Phone (615) 279-6700

Other identifiers 1

IdentifierTypeStateIssuer
Q045592MedicaidTN

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
I20190108000766 TN Practitioner - Nurse Practitioner 0749525202

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Education, Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
IMH8933FLMDMental Health Counselor
225341TNMDRegistered Nurse
25032TNMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Emerald Coast Children'S Advocacy Center Inc. Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1347235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597708800000",
    "number": "1598014201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1113 MURFREESBORO RD STE 319",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370641312",
            "telephone_number": "615-790-0567",
            "fax_number": "615-814-2924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1113 MURFREESBORO RD STE 319",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370641312",
            "telephone_number": "615-790-0567",
            "fax_number": "615-814-2924"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 McEwen Dr",
            "address_purpose": "LOCATION",
            "city": "Niceville",
            "state": "FL",
            "postal_code": "325782741",
            "country_code": "US",
            "telephone_number": "850-833-9237",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1921 Ransom Pl",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "37217",
            "country_code": "US",
            "telephone_number": "615-279-6700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIEGAL",
        "first_name": "WILLIAM",
        "middle_name": "FREEMAN",
        "name_prefix": "Mr.",
        "credential": "M.ED./ED.S., MSN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-09-10",
        "last_updated": "2020-08-18",
        "certification_date": "2020-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "225341",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "25032",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH8933",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q045592",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, TN

Sources for this page

Verify at the official NPI Registry.