Individual provider Active NPI

Patrice H Hinton Oswalt, ED.S, LPC/MHSP, NCC

  • Specialist
  • Brentwood, TN
National Provider Identifier
1629245667
Registry record updated Dec 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
2585 Issued in AL
Practice address
100 Winners Cir N
Suite 120
Brentwood, TN 37027-5012
Phone
(205) 504-1587
NPI assigned
May 9, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 3047 TN
Specialist 174400000X 2585 AL Primary

Addresses

Primary practice location

100 Winners Cir N
Suite 120
Brentwood, TN 37027-5012

Mailing address

6069 Frontier LN
Nashville, TN 37211-6220
Phone (205) 504-1587

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
3047TNMDHealth Service Psychologist
2585ALMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Pho LLC 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.

NPI Registry JSON

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

{
    "created_epoch": "1210291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481846400000",
    "number": "1629245667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6069 FRONTIER LN",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372116220",
            "telephone_number": "205-504-1587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WINNERS CIR N",
            "address_2": "SUITE 120",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370275012",
            "telephone_number": "205-504-1587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINTON OSWALT",
        "first_name": "PATRICE",
        "middle_name": "H",
        "name_prefix": "Ms.",
        "credential": "ED.S, LPC/MHSP, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-09",
        "last_updated": "2016-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "3047",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AL",
            "license": "2585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brentwood, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.