Individual provider Active NPI

Rachel Martin, FNP

  • Family Nurse Practitioner
  • Woodbury, TN
National Provider Identifier
1780467894
Registry record updated Oct 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
33855 Issued in TN
Practice address
205 S McCrary St Ste 1
Woodbury, TN 37190-1499
Phone
(615) 563-2891
NPI assigned
Aug 14, 2023
Last updated
Oct 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2025

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 33855 TN Primary

Addresses

Primary practice location

205 S McCrary St Ste 1
Woodbury, TN 37190-1499

Mailing address

500 Paragon Mills Rd Apt H1
Nashville, TN 37211-3735
Phone (615) 938-0488

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
I20231025000220 TN Practitioner - Nurse Practitioner 7416303649 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cannon County Healthcare PCGroup PAC ID 5890778575, 5 clinicians

Practice addresses (Care Compare)

205 S McCrary St
Woodbury, TN 37190-1420
Phone (615) 563-2891

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
33855TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cannon County Healthcare PC CurrentSince Oct 2, 2023 Accepting new patients

Locations

205 S McCrary St
Woodbury, TN 37190
Phone (615) 563-2891

205 S McCrary St
Ste 1
Woodbury, TN 37190
Phone (615) 563-2891

Organizations & group practices 1

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1691971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760400000000",
    "number": "1780467894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 PARAGON MILLS RD APT H1",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372113735",
            "telephone_number": "615-938-0488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 S MCCRARY ST STE 1",
            "city": "WOODBURY",
            "state": "TN",
            "postal_code": "371901499",
            "telephone_number": "615-563-2891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "RACHEL",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-14",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "33855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbury, TN

Sources for this page

Verify at the official NPI Registry.