Vanessa Betancourt
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Sparta, TN
NPI 1801705355 · NPPES record last updated Sep 2, 2026
Key facts
- NPI
- 1801705355
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 42883 (TN)
- Practice address
- 3380 Walnut Grove Rd
Sparta, TN 38583-5365 - Phone
- (931) 372-7117
- NPI assigned
- Sep 2, 2026
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 42883 | TN | Yes |
Addresses
Primary practice location
3380 Walnut Grove Rd
Sparta, TN 38583-5365
Mailing address
3380 Walnut Grove Rd
Sparta, TN 38583-5365
Other providers in Sparta, TN
- Justin Colby Arms
- Robert Francis Baker Jr.
- James Clinton Barlow
- Jeffry Alan Belknap
- Teresa Benson
- Birch Tree Pediatric Therapy, PLLC
- Heather Blaney
- Maranda Darline Blaylock
- Gregory L. Boston
- Botanical Emergency Physicians, LLC
All providers in Sparta, TN · Psychiatric/Mental Health Nurse Practitioner in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 2, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.