Individual provider Active NPI

Joseph Sanfilippo, NP

  • Pediatric Nurse Practitioner
  • Nashville, TN
National Provider Identifier
1629127303
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
8448 Issued in TN
Practice address
4901 Nolensville Pike
Nashville, TN 37211-5411
Phone
(615) 988-2340
Fax
(615) 988-2643
NPI assigned
Jan 10, 2007
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 8448 TN Primary

Addresses

Primary practice location

4901 Nolensville Pike
Nashville, TN 37211-5411

Mailing address

9307 Chevoit Dr
Brentwood, TN 37027-6137
Phone (615) 988-2340

Other practice location 1

330 Wallace Rd
Ste 109
Nashville, TN 37211-4893
Phone (615) 832-5612

Other identifiers 1

IdentifierTypeStateIssuer
5441731MedicaidTN

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
I20071005000616 TN Practitioner - Nurse Practitioner 8224123138 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nashville Pediatric Providers, LLC Pediatrics CurrentSince Oct 15, 2013 Accepting new patients
Centennial Pediatrics PC PastSince Oct 1, 2012 Accepting new patients

Locations

590 Benzing Rd
Antioch, TN 37013
Phone (615) 988-2340

4901 Nolensville Rd
Nashville, TN 37211
Phone (615) 760-5022

5530 Eulala Dr
Nashville, TN 37211
Phone (615) 333-3339

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": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1629127303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9307 CHEVOIT DR",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370276137",
            "telephone_number": "615-988-2340",
            "fax_number": "615-988-2643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4901 NOLENSVILLE PIKE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372115411",
            "telephone_number": "615-988-2340",
            "fax_number": "615-988-2643"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "330 Wallace Rd",
            "address_2": "Ste 109",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372114893",
            "country_code": "US",
            "telephone_number": "615-832-5612",
            "fax_number": "615-331-5133",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANFILIPPO",
        "first_name": "JOSEPH",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-10",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TN",
            "license": "8448",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5441731",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.