Individual provider Active NPI

Virginia Bradshaw, APRN, BC

  • Nurse Practitioner
  • Nashville, TN
National Provider Identifier
1598795007
Registry record updated Sep 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
7319 Issued in TN
Practice address
24 White Bridge Pike
Nashville, TN 37205-1411
Phone
(615) 352-0011
Fax
(615) 352-0085
NPI assigned
Jul 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 7319 TN Primary

Addresses

Primary practice location

24 White Bridge Pike
Nashville, TN 37205-1411

Mailing address

820 Springer Dr
Lombard, IL 60148-6413
Phone (815) 744-8554

Other identifiers 3

IdentifierTypeStateIssuer
3043372MedicaidTN
3046283OtherTNBCBS PROVIDER NUMBER
3711015OtherTNMEDICARE PTAN

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
I20111027000863 TN Practitioner - Nurse Practitioner 1153594635 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cumberland Skin Surgery and DermatologyGroup PAC ID 0941391338, 55 clinicians

Practice addresses (Care Compare)

24 White Bridge Pike
Nashville, TN 37205-1411
Phone (615) 352-0011

Merit-based Incentive Payment System (MIPS)

Final score
87.25 of 100Reported as group
Promoting interoperability
85
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7319TNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gold Skin Care Center Current Accepting new patients
Cumberland Skin Surgery and Dermatology CurrentSince Feb 1, 2023 Accepting new patients
Pinnacle Dermatology, SC Nurse Practitioner CurrentSince Mar 9, 2021 Accepting new patients
Advanced Sleep Consultants of Middle TN, Inc Past Accepting new patients

Locations

820 Springer Dr
Lombard, IL 60148
Phone (708) 634-4602

6716 Nolensville Rd
Ste 250
Brentwood, TN 37027
Phone (615) 549-6674

290 Clear Sky Ct
Clarksville, TN 37043
Phone (270) 886-2050

781 Weatherly Dr
Apt C
Clarksville, TN 37043
Phone (931) 444-5040

125 Cool Springs Blvd
Ste 210
Franklin, TN 37067
Phone (615) 472-7190

300 Steam Plant Rd
Ste 260B
Gallatin, TN 37066
Phone (615) 338-6037

100 Springhouse Ct
Ste 100
Hendersonville, TN 37075
Phone (615) 824-7491

107 Glidepath Way
Lebanon, TN 37090
Phone (615) 449-5771

1670 W Main St
Ste 140
Lebanon, TN 37087
Phone (615) 453-9492

1020 McArthur St
Manchester, TN 37355
Phone (931) 728-2022

485 N Chancery St
Ste B
McMinnville, TN 37110
Phone (931) 304-8585

650 S Mount Juliet Rd
Ste 100
Mt Juliet, TN 37122
Phone (615) 553-2016

1725 Medical Center Pkwy
Ste 300
Murfreesboro, TN 37129

2000 Richard Jones Rd
Ste 220
Nashville, TN 37215
Phone (615) 383-2400

24 White Bridge Pike
Nashville, TN 37205
Phone (615) 352-0011

515 Stonecrest Pkwy
Ste 200
Smyrna, TN 37167
Phone (615) 220-0366

5073 Main St
Ste 140
Spring Hill, TN 37174
Phone (615) 861-4444

100 Northcrest Dr
Ste 225
Springfield, TN 37172
Phone (615) 338-6313

225 Northcrest Dr
Springfield, TN 37172
Phone (615) 384-1821

2050 Cowan Hwy
Winchester, TN 37398
Phone (931) 931-9393

Organizations & group practices 4

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": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726012800000",
    "number": "1598795007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 SPRINGER DR",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601486413",
            "telephone_number": "815-744-8554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 WHITE BRIDGE PIKE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372051411",
            "telephone_number": "615-352-0011",
            "fax_number": "615-352-0085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADSHAW",
        "first_name": "VIRGINIA",
        "name_prefix": "Ms.",
        "credential": "APRN, BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-03",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "7319",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3043372",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "3046283",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "3711015",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.