Individual provider Active NPI

Timothy Chad Street, APRN, FNP-BC

  • Family Nurse Practitioner
  • Ashland City, TN
National Provider Identifier
1679353742
Registry record updated Aug 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
38355 Issued in TN
Practice address
150 Hutton PL
Ashland City, TN 37015-4953
Phone
(615) 792-2223
NPI assigned
Oct 4, 2023
Last updated
Aug 30, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 38355 TN Primary
Paramedic 146L00000X 33935 TN
Emergency Registered Nurse 163WE0003X 242473 TN

Addresses

Primary practice location

150 Hutton PL
Ashland City, TN 37015-4953

Mailing address

6116 S Riverbend Dr
Nashville, TN 37221-3935
Phone (423) 213-2192

Other practice location 1

2377 Fairview Blvd
Fairview, TN 37062-6003
Phone (615) 799-0101

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
I20250505001468 TN Practitioner - Nurse Practitioner 9032636915 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Medicine Services of TN, PCGroup PAC ID 3173989837, 144 clinicians
Fast Pace Medical Clinic PLLCGroup PAC ID 5395881841, 737 clinicians

Practice addresses (Care Compare)

111 Hwy 70 E
Tristar Horizon Medical Center
Dickson, TN 37055-2080
Phone (615) 446-0446

301 W Main St
Waverly, TN 37185-1512
Phone (615) 988-1571

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
242473TNMDEmergency Registered Nurse
33935TNMDDermatopathology Physician
38355TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fast Pace Medical Clinic PLLC CurrentSince Feb 28, 2025 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Feb 28, 2025 Accepting new patients
Upperline Healthcare, PC CurrentSince Sep 1, 2025 Accepting new patients
Upperline Healthcare, PC CurrentSince Sep 1, 2025 Accepting new patients
Emergency Medicine Services of TN, PC Family CurrentSince Nov 24, 2025 Accepting new patients

Locations

7348 E Brainerd Rd
Chattanooga, TN 37421
Phone (205) 822-8038

107 Natchez Park Dr
Dickson, TN 37055
Phone (615) 326-2900

111 Highway 70 E
Dickson, TN 37055
Phone (615) 441-2357

2377 Fairview Blvd
Fairview, TN 37062
Phone (615) 799-0101

2300 Patterson St
Nashville, TN 37203
Phone (615) 342-1500

301 W Main St
Waverly, TN 37185
Phone (615) 299-7378

Organizations & group practices 5

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": "1696377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756512000000",
    "number": "1679353742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6116 S RIVERBEND DR",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372213935",
            "telephone_number": "423-213-2192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 HUTTON PL",
            "city": "ASHLAND CITY",
            "state": "TN",
            "postal_code": "370154953",
            "telephone_number": "615-792-2223"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2377 Fairview Blvd",
            "address_purpose": "LOCATION",
            "city": "Fairview",
            "state": "TN",
            "postal_code": "370626003",
            "country_code": "US",
            "telephone_number": "615-799-0101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STREET",
        "first_name": "TIMOTHY",
        "middle_name": "CHAD",
        "name_prefix": "Mr.",
        "credential": "APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-10-04",
        "last_updated": "2025-08-30",
        "certification_date": "2025-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "38355",
            "primary": true
        },
        {
            "code": "146L00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Paramedic",
            "state": "TN",
            "license": "33935",
            "primary": false
        },
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "TN",
            "license": "242473",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland City, TN

Sources for this page

Verify at the official NPI Registry.