Individual provider Active NPI

Mattie Joseph, NP

  • Family Nurse Practitioner
  • Pleasant View, TN
National Provider Identifier
1720626591
Registry record updated Jun 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26312 Issued in TN
Practice address
6294 Highway 41a
Pleasant View, TN 37146-8175
Phone
(615) 746-8872
NPI assigned
Dec 12, 2019
Last updated
Jun 30, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26312 TN Primary

Addresses

Primary practice location

6294 Highway 41a
Pleasant View, TN 37146-8175

Mailing address

1176 Poole Rd
Chapmansboro, TN 37035-5327
Phone (615) 319-5051

Other names 1

  • Mattie Martin Other name

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
I20210416001617 TN Practitioner - Nurse Practitioner 0648688390 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Crossroads Urgent Care PLLCGroup PAC ID 8325117484, 181 clinicians

Practice addresses (Care Compare)

2006 Memorial Blvd
Suite 101
Springfield, TN 37172-3905
Phone (615) 380-8411

2445 Memorial Blvd
Suite C
Murfreesboro, TN 37129-5156
Phone (615) 217-6900

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Regents Medical Center PC Family CurrentSince Feb 1, 2021 Accepting new patients
Crossroads Urgent Care PLLC Family CurrentSince Jul 21, 2022 Accepting new patients
Crossroads Urgent Care PLLC Family CurrentSince Jul 21, 2022 Accepting new patients
Crossroads Urgent Care PLLC Past Accepting new patients

Locations

1690 Fort Campbell Blvd
Clarksville, TN 37042
Phone (931) 648-4838

2224 Madison St
Ste B
Clarksville, TN 37043
Phone (931) 503-7015

2445 Memorial Blvd
Ste C
Murfreesboro, TN 37129
Phone (615) 217-6900

30 Burton Hills Blvd
Ste 175
Nashville, TN 37215
Phone (615) 988-2014

3024 Gallatin Pike
Nashville, TN 37216
Phone (615) 665-4400

254 Ren Mar Dr
Ste 100
Pleasant View, TN 37146
Phone (615) 746-0203

Organizations & group practices 4

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": "1576108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656547200000",
    "number": "1720626591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1176 POOLE RD",
            "city": "CHAPMANSBORO",
            "state": "TN",
            "postal_code": "370355327",
            "telephone_number": "615-319-5051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6294 HIGHWAY 41A",
            "city": "PLEASANT VIEW",
            "state": "TN",
            "postal_code": "371468175",
            "telephone_number": "615-746-8872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSEPH",
        "first_name": "MATTIE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-12",
        "last_updated": "2022-06-30",
        "certification_date": "2022-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "26312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MATTIE",
            "last_name": "MARTIN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Pleasant View, TN

Sources for this page

Verify at the official NPI Registry.