Individual provider Active NPI

Chanel Thomas, APRN

  • Family Nurse Practitioner
  • Nashville, TN
National Provider Identifier
1790458453
Registry record updated Nov 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
29889 Issued in TN
Practice address
601 Benton Ave
Nashville, TN 37204-2303
Phone
(615) 292-9770
NPI assigned
Jul 28, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 29889 TN
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 29889 TN
Family Nurse Practitioner 363LF0000X 29889 TN Primary

Addresses

Primary practice location

601 Benton Ave
Nashville, TN 37204-2303

Mailing address

601 Benton Ave
Nashville, TN 37204-2303
Phone (615) 292-9770

Other practice location 1

3601 The Vanderbilt Clinic
Nashville, TN 37232-1440
Phone (615) 322-3000

Other practice location 2

2611 W End Ave Ste 380
Nashville, TN 37203-1440
Phone (615) 936-5858

Other practice location 3

2637 Murfreesboro Pike
Nashville, TN 37217-3505
Phone (615) 292-9770

Other identifiers 1

IdentifierTypeStateIssuer
Q069255MedicaidTN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cthomas385598@direct.vumc.org Direct

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
I20211102003062 TN Practitioner - Nurse Practitioner 3779971239 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
29889TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University Community Health Services, Inc Family CurrentSince Dec 21, 2022 Accepting new patients
Blue Sage Wellness PLLC Family Current Accepting new patients
Vanderbilt University Medical Center CurrentSince Sep 1, 2021 Accepting new patients
Vanderbilt University PastSince Aug 1, 2021 Accepting new patients

Locations

Dept A T 40379
Atlanta, GA 31192

2611 West End Ave
Ste 380
Nashville, TN 37203
Phone 6159365858 ext. 1

1301 Medical Center Dr
Nashville, TN 37232
Phone (615) 343-4882

2637 Murfreesboro Pike
Nashville, TN 37217
Phone (615) 292-9770

3841 Green Hills Village Dr
Ste 200
Nashville, TN 37215
Phone (615) 322-6842

719 Thompson Ln
Nashville, TN 37204
Phone (615) 322-6485

719 Thompson Ln
Ste 30330
Nashville, TN 37204
Phone (615) 936-3871

601 Benton Ave
Nashville, TN 37204
Phone (615) 292-9770

2300 21st Ave S
Ste 305
Nashville, TN 37212
Phone (434) 484-2132

210 25th Ave N
Ste 1220
Nashville, TN 37203
Phone (615) 549-5033

Organizations & group practices 4

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": "1627430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730851200000",
    "number": "1790458453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 BENTON AVE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372042303",
            "telephone_number": "615-292-9770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 BENTON AVE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372042303",
            "telephone_number": "615-292-9770"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3601 The Vanderbilt Clinic",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372321440",
            "country_code": "US",
            "telephone_number": "615-322-3000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2611 W End Ave Ste 380",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372031440",
            "country_code": "US",
            "telephone_number": "615-936-5858",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2637 Murfreesboro Pike",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372173505",
            "country_code": "US",
            "telephone_number": "615-292-9770",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "CHANEL",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-28",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "29889",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "29889",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "29889",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q069255",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cthomas385598@direct.vumc.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Health Information Service Provider",
            "address_1": "3601 The Vanderbilt Clinic",
            "city": "Nashville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "372321440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.