Active NPI
William Freeman Siegal, M.ED./ED.S., MSN
- Psychiatric/Mental Health Nurse Practitioner
- Franklin, TN
National Provider Identifier
1598014201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 25032
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q045592 | Medicaid | TN |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| IMH8933 | FL | MD | Mental Health Counselor |
| 225341 | TN | MD | Registered Nurse |
| 25032 | TN | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Voluntary or Charitable Agency
- Niceville, FL
- NPI 1629349691
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.