Organization Active NPI

Vertrees Clinical Group, PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Mt Juliet, TN
National Provider Identifier
1790131340
Registry record updated Oct 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
19298 Issued in TN
Legal business name
VERTREES CLINICAL GROUP, PLLC
Practice address
1550 N Mount Juliet Rd Ste 104
Mt Juliet, TN 37122-3786
Phone
(615) 784-4056
Fax
(615) 858-1500
NPI assigned
May 12, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2023

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

Authorized official

Name
Thomas VertreesNPI 1356524839
Title
Managing Member
Phone
(615) 784-4056

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X 19298 TN Primary

Addresses

Primary practice location

1550 N Mount Juliet Rd Ste 104
Mt Juliet, TN 37122-3786

Mailing address

PO Box 464
Lebanon, TN 37088-0464
Phone (615) 784-4056

National Provider Directory

National Provider Directory

Locations

704 Cadet Ct
Lebanon, TN 37087
Phone (615) 784-4056

125 S College St
Lebanon, TN 37087
Phone (615) 453-8900

1550 N Mount Juliet Rd
Ste 104
Mt Juliet, TN 37122
Phone (615) 784-4056

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1463011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697760000000",
    "number": "1790131340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 464",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370880464",
            "telephone_number": "615-784-4056",
            "fax_number": "615-858-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 N MOUNT JULIET RD STE 104",
            "city": "MT JULIET",
            "state": "TN",
            "postal_code": "371223786",
            "telephone_number": "615-784-4056",
            "fax_number": "615-858-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERTREES CLINICAL GROUP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-12",
        "last_updated": "2023-10-20",
        "certification_date": "2023-10-20",
        "status": "A",
        "authorized_official_last_name": "VERTREES",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "615-784-4056"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "19298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Juliet, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 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.

Verify at the official NPI Registry.