Individual provider Active NPI

Christine Peterson, NP

  • Nurse Practitioner
  • Nashville, TN
National Provider Identifier
1639199649
Registry record updated May 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APN000830 Issued in NV
Practice address
832 Wedgewood Ave
Nashville, TN 37203-5447
Phone
(615) 806-8800
Fax
(615) 806-8875
NPI assigned
Jul 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2015

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 APN000830 NV Primary

Addresses

Primary practice location

832 Wedgewood Ave
Nashville, TN 37203-5447

Mailing address

12201 Bluegrass Pkwy
Suite 3-456
Louisville, KY 40299-2361
Phone (502) 568-7366

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
I20110318000519 TN Practitioner - Nurse Practitioner 8224098306 Reassigns benefits to 3 organizations
Practice locations: Brentwood, TN

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Tennessee, HSC, College of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrated Wound Care Tennessee PLLCGroup PAC ID 8527394477, 19 clinicians

Practice addresses (Care Compare)

141 N McLean Blvd
Memphis, TN 38104-2693
Phone (201) 870-1194

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN000830NVMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Diagnostic Imaging, PC Nurse Practitioner CurrentSince Jun 15, 2018 Accepting new patients
SHC Medical Partners of Tennessee, LLC Nurse Practitioner CurrentSince Mar 24, 2015 Accepting new patients
Advanced Diagnostic Imaging PC CurrentSince Jun 15, 2018 Accepting new patients
Iyad Houshan, M.D. Professional Corporation PastSince Feb 27, 2016 Accepting new patients
Geriatric Medical Associates of Nevada LLC Past Accepting new patients
Silver Continence Care - TN, LLC Nurse Practitioner Past Accepting new patients

Locations

805 N Whittington Pkwy
Ste 400
Louisville, KY 40222
Phone (502) 272-3438

12201 Bluegrass Pkwy
Ste 3456
Louisville, KY 40299

12201 Bluegrass Pkwy
Louisville, KY 40299
Phone (502) 568-7364

8115 Isabella Ln
Ste 12
Brentwood, TN 37027
Phone (615) 309-0080

3024 Business Park Cir
Goodlettsvlle, TN 37072
Phone (615) 239-2018

832 Wedgewood Ave
Nashville, TN 37203
Phone (615) 202-4233

3443 Dickerson Pike
Ste 400
Nashville, TN 37207
Phone (615) 612-2146

300 20th Ave N
Ste G1
Nashville, TN 37203
Phone (615) 284-7035

415 Cole Dr
Pigeon Forge, TN 37863
Phone (865) 428-5454

Organizations & group practices 7

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": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431907200000",
    "number": "1639199649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12201 BLUEGRASS PKWY",
            "address_2": "SUITE 3-456",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402992361",
            "telephone_number": "502-568-7366",
            "fax_number": "502-568-7114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "832 WEDGEWOOD AVE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372035447",
            "telephone_number": "615-806-8800",
            "fax_number": "615-806-8875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "CHRISTINE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-20",
        "last_updated": "2015-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "APN000830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.