Tara Lynn Fishwild, NP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

32393 Issued in TN

Practice address

300 Stonecrest Blvd Ste 250
Smyrna, TN 37167-6832

Phone

(615) 917-6020

NPI assigned

Sep 13, 2022

Last updated

Nov 4, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• The Center for Pediatric Excellence, PLLC

  • Pediatrics Physician
  • Smyrna, TN
  • NPI 1386382273

  Single Specialty

  Medicare reassignment NPD
• Brentwood Pediatrics PLLC

  • Pediatrics Physician
  • Brentwood, TN
  • NPI 1962508937
  NPD (past)
• Crockett Kids Pediatrics, P.C.

  • Pediatrics Physician
  • Lawrenceburg, TN
  • NPI 1154380004

  Single Specialty

  NPD (past)
• Grace Pediatrics PLLC

  • Pediatrics Physician
  • Smyrna, TN
  • NPI 1467781690

  Single Specialty

  NPD (past)
• Grace Pediatrics PLLC

  • Pediatrics Physician
  • Pleasant View, TN
  • NPI 1992553689

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1663027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667520000000",
    "number": "1659093060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 STONECREST BLVD STE 250",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371676832",
            "telephone_number": "629-220-0211",
            "fax_number": "629-220-0210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 STONECREST BLVD STE 250",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371676832",
            "telephone_number": "615-917-6020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHWILD",
        "first_name": "TARA",
        "middle_name": "LYNN",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-13",
        "last_updated": "2022-11-04",
        "certification_date": "2022-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TN",
            "license": "32393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meredith Fetterman, FNP-C
• Mary Ellen Fields
• Fernando Figueroa Rodriguez, MD
• James M Fish, D.O.
• Calliope Fisher
• Katelynn M'Kayle Fitzgerald
• Rebecca Flannelly, FNP-C
• Nazarine Alcober Flatts
• Kaylen Rhea Fletcher, OTR/L
• Suzanne Marguerite Fletcher, MD

• Pediatric Nurse Practitioner in Smyrna, TN
• Providers in Smyrna, TN by specialty
• Pediatric Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.