Individual provider Active NPI

Gabriela Anne Travisano, APRN

  • Family Nurse Practitioner
  • Brentwood, TN
National Provider Identifier
1750169546
Registry record updated Sep 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
34787 Issued in TN
Practice address
1195 Old Hickory Blvd Ste 102
Brentwood, TN 37027-4239
Phone
(615) 988-8100
NPI assigned
Sep 21, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2023

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 34787 TN Primary

Addresses

Primary practice location

1195 Old Hickory Blvd Ste 102
Brentwood, TN 37027-4239

Mailing address

3443 Dickerson Pike Ste 590
Nashville, TN 37207-2520
Phone (615) 988-8100

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
I20231122000890 TN Practitioner - Nurse Practitioner 8224486758

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34787TNMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1695254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695254400000",
    "number": "1750169546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3443 DICKERSON PIKE STE 590",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372072520",
            "telephone_number": "615-988-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1195 OLD HICKORY BLVD STE 102",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370274239",
            "telephone_number": "615-988-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAVISANO",
        "first_name": "GABRIELA",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-21",
        "last_updated": "2023-09-21",
        "certification_date": "2023-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "34787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brentwood, TN

Sources for this page

Verify at the official NPI Registry.