Individual provider Active NPI

Stephanie Gifford, FNP-BC

  • Family Nurse Practitioner
  • Nashville, TN
National Provider Identifier
1609326636
Registry record updated Apr 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
21822 Issued in TN
Practice address
2001 Charlotte Ave Ste 101
Nashville, TN 37203-2032
Phone
(602) 831-4717
Fax
(615) 447-3282
NPI assigned
Oct 13, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 21822 TN Primary

Addresses

Primary practice location

2001 Charlotte Ave Ste 101
Nashville, TN 37203-2032

Mailing address

2001 Charlotte Ave Ste 101
Nashville, TN 37203-2032
Phone (602) 831-4717

Other practice location 1

300 20th Ave N
Suite G4
Nashville, TN 37203-2131
Phone (615) 284-5098

Other practice location 2

132 Maple Row Blvd Ste 540
Hendersonville, TN 37075-4786
Phone (615) 447-3251

Other identifiers 3

IdentifierTypeStateIssuer
6083383OtherTNBCBS
7100453550MedicaidKY
Q025356MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jan 1, 2026 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
21822TNMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1476316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744761600000",
    "number": "1609326636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 CHARLOTTE AVE STE 101",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372032032",
            "telephone_number": "602-831-4717",
            "fax_number": "615-447-3282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 CHARLOTTE AVE STE 101",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372032032",
            "telephone_number": "602-831-4717",
            "fax_number": "615-447-3282"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 20th Ave N",
            "address_2": "Suite G4",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372032131",
            "country_code": "US",
            "telephone_number": "615-284-5098",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "132 Maple Row Blvd Ste 540",
            "address_purpose": "LOCATION",
            "city": "Hendersonville",
            "state": "TN",
            "postal_code": "370754786",
            "country_code": "US",
            "telephone_number": "615-447-3251",
            "fax_number": "615-447-3282",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIFFORD",
        "first_name": "STEPHANIE",
        "name_prefix": "Ms.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-13",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "21822",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "6083383",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100453550",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q025356",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.