Active NPI
Melinda Sue Kaiser-McGowen, N.P.
- Psychiatric/Mental Health Nurse Practitioner
- Murfreesboro, TN
National Provider Identifier
1780779488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- AP110248
- Practice address
- 3400 Lebanon Rd
Murfreesboro, TN 37129-1392 - Phone
- (615) 225-6000
- NPI assigned
- Oct 4, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 591819 | TX | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AP110248 | TX | Primary |
Addresses
Primary practice location
3400 Lebanon Rd
Murfreesboro, TN 37129-1392
Mailing address
3400 Lebanon Rd
Murfreesboro, TN 37129-1236
Phone (615) 225-6000
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 591819 | Other | TX | TX RN NURSE PRACTIONER |
| 03535 | Other | TX | PRESCRIPTIVE AUTHORITY |
| 141158901 | Medicaid | TX |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 591819 | TX | MD | Psychiatric/Mental Health Nurse Practitioner |
| AP110248 | TX | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metrocare | Past | Accepting new patients | |
| Suzanne M. Guynes, M.D.P.a. | Past | Accepting new patients |
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.
-
- Community/Behavioral Health Agency
- Dallas, TX
- NPI 1699021089
-
- Geriatric Psychiatry Physician
- Weatherford, TX
- NPI 1063601466
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695254400000",
"number": "1780779488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3400 LEBANON RD",
"city": "MURFREESBORO",
"state": "TN",
"postal_code": "371291236",
"telephone_number": "615-225-6000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3400 LEBANON RD",
"city": "MURFREESBORO",
"state": "TN",
"postal_code": "371291392",
"telephone_number": "615-225-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAISER-MCGOWEN",
"first_name": "MELINDA",
"middle_name": "SUE",
"name_prefix": "Ms.",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-04",
"last_updated": "2023-09-21",
"certification_date": "2023-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "TX",
"license": "591819",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "TX",
"license": "AP110248",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TX RN NURSE PRACTIONER",
"identifier": "591819",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRESCRIPTIVE AUTHORITY",
"identifier": "03535",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "141158901",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Murfreesboro, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.