Individual provider Active NPI

Brandy Enoch Stewart, FNP

  • Family Nurse Practitioner
  • Kingston Springs, TN
National Provider Identifier
1801017116
Registry record updated Mar 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN12257 Issued in TN
Practice address
111 W Kingston Springs Rd Ste 104
Kingston Springs, TN 37082-9121
Phone
(615) 952-2011
Fax
(615) 952-5216
NPI assigned
May 2, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2026

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 APN12257 TN Primary

Addresses

Primary practice location

111 W Kingston Springs Rd Ste 104
Kingston Springs, TN 37082-9121

Mailing address

111 W Kingston Springs Rd Ste 104
Kingston Springs, TN 37082-9121
Phone (615) 952-2011

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
I20070926000306 TN Practitioner - Nurse Practitioner 9335233014

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dickson Medical Associates, PCGroup PAC ID 3971408774, shared by 12 NPIs, 55 clinicians

Practice addresses (Care Compare)

127 Crestview Park Dr
Dickson, TN 37055-2855
Phone (615) 446-5121

Hospital & facility affiliations

  • Tristar Ashland City Medical Center Hospital, Ashland City, TN, CCN 440779
  • Tristar Centennial Medical Center Hospital, Nashville, TN, CCN 440161

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12257TNMDPhysical Therapist
APN12257TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Centennial Womens Group, LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: bstewart26920@dicksonmedicalassociates.gardenplot.direct-ci.com
  • Direct secure messaging: brandy.enoch@hca1.eclinicaldirectplus.com

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772496000000",
    "number": "1801017116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 W KINGSTON SPRINGS RD STE 104",
            "city": "KINGSTON SPRINGS",
            "state": "TN",
            "postal_code": "370829121",
            "telephone_number": "615-952-2011",
            "fax_number": "615-952-5216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 W KINGSTON SPRINGS RD STE 104",
            "city": "KINGSTON SPRINGS",
            "state": "TN",
            "postal_code": "370829121",
            "telephone_number": "615-952-2011",
            "fax_number": "615-952-5216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "BRANDY",
        "middle_name": "ENOCH",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-02",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN12257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingston Springs, TN

Sources for this page

Verify at the official NPI Registry.