Active NPI
Elise Detrude, BCBA
- Behavior Analyst
- Nashville, TN
National Provider Identifier
1780498212
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1757
- Practice address
- 2603 Westwood Dr
Nashville, TN 37204-2709 - Phone
- (615) 703-3531
- NPI assigned
- Feb 5, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1757 | TN | Primary |
Addresses
Primary practice location
2603 Westwood Dr
Nashville, TN 37204-2709
Mailing address
200 Chamberlin St Unit C
Nashville, TN 37209-4850
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1757 | TN | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1738713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738713600000",
"number": "1780498212",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 CHAMBERLIN ST UNIT C",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372094850"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2603 WESTWOOD DR",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372042709",
"telephone_number": "615-703-3531"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DETRUDE",
"first_name": "ELISE",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-02-05",
"last_updated": "2025-02-05",
"certification_date": "2025-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "TN",
"license": "1757",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nashville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.