Individual provider Active NPI

Stefanie Ann Kreidler, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Mt Juliet, TN
National Provider Identifier
1770355182
Registry record updated Aug 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
35021 Issued in TN
Practice address
2055 N Mount Juliet Rd Ste 204
Mt Juliet, TN 37122-4296
Phone
(615) 488-3592
Fax
(615) 845-1777
NPI assigned
Oct 30, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 35021 TN Primary

Addresses

Primary practice location

2055 N Mount Juliet Rd Ste 204
Mt Juliet, TN 37122-4296

Mailing address

608 Oak Cove CT
Mount Juliet, TN 37122-2190
Phone (248) 535-8231

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
I20231206003414 TN Practitioner - Nurse Practitioner 2860841574 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Neurokind Mental Health PLLC Psychiatric/Mental Health Current Accepting new patients
Nashville Brain Institute CurrentSince Nov 1, 2023 Accepting new patients

Locations

7110 Crossroads Blvd
Ste 400
Brentwood, TN 37027
Phone (615) 208-9499

5651 Frist Blvd
Ste 717
Hermitage, TN 37076
Phone (615) 316-9511

2055 N Mount Juliet Rd
Ste 204
Mt Juliet, TN 37122
Phone (615) 488-3592

2410 Patterson St
Ste 210
Nashville, TN 37203
Phone (615) 340-4000

Organizations & group practices 2

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": "1698624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754265600000",
    "number": "1770355182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 OAK COVE CT",
            "city": "MOUNT JULIET",
            "state": "TN",
            "postal_code": "371222190",
            "telephone_number": "248-535-8231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2055 N MOUNT JULIET RD STE 204",
            "city": "MT JULIET",
            "state": "TN",
            "postal_code": "371224296",
            "telephone_number": "615-488-3592",
            "fax_number": "615-845-1777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREIDLER",
        "first_name": "STEFANIE",
        "middle_name": "ANN",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-30",
        "last_updated": "2025-08-04",
        "certification_date": "2025-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "35021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Juliet, TN

Sources for this page

Verify at the official NPI Registry.