Individual provider Active NPI

Julie Nicole McBride, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Cleveland, TN
National Provider Identifier
1598324006
Registry record updated Jun 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
25980 Issued in TN
Practice address
1723 Mount Vernon Dr NW
Cleveland, TN 37311-3539
Phone
(423) 473-2633
NPI assigned
Jun 8, 2019
Last updated
Jun 8, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 25980 TN Primary

Addresses

Primary practice location

1723 Mount Vernon Dr NW
Cleveland, TN 37311-3539

Mailing address

820 Old Parksville Rd NE
Cleveland, TN 37323-5010
Phone (423) 310-7950

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191203001533 TN Practitioner - Psychiatry 8729411897 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cleveland Psychiatric Center, PCGroup PAC ID 5799717526, 4 clinicians

Practice addresses (Care Compare)

1723 Mount Vernon Dr NW
Cleveland, TN 37311-3539
Phone (423) 473-2633

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25980TNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Robert Stetson, MD, PLLC CurrentSince Jun 17, 2019 Accepting new patients
Cleveland Psychiatric Center, PC CurrentSince Jun 17, 2019 Accepting new patients

Locations

1723 Mount Vernon Dr NW
Cleveland, TN 37311
Phone (423) 473-2633

Organizations & group practices 2

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": "1559952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559952000000",
    "number": "1598324006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 OLD PARKSVILLE RD NE",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373235010",
            "telephone_number": "423-310-7950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1723 MOUNT VERNON DR NW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373113539",
            "telephone_number": "423-473-2633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCBRIDE",
        "first_name": "JULIE",
        "middle_name": "NICOLE",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-08",
        "last_updated": "2019-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "25980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, TN

Sources for this page

Verify at the official NPI Registry.