Individual provider Active NPI

Martha Katherine Rumble, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Chattanooga, TN
National Provider Identifier
1811547201
Registry record updated Mar 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26695 Issued in TN
Practice address
6031 Shallowford Rd Ste 113
Chattanooga, TN 37421-1984
Phone
(423) 825-8500
NPI assigned
Sep 17, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 1-159517 AL
Registered Nurse 163W00000X 241318 TN
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 26695 TN Primary

Addresses

Primary practice location

6031 Shallowford Rd Ste 113
Chattanooga, TN 37421-1984

Mailing address

9136 Carissa Dr
Brentwood, TN 37027-8848
Phone (256) 794-2477

Other names 1

  • Martha Katherine Scroggins Former name

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
I20200326003931 TN Practitioner - Nurse Practitioner 5496184467 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Faraday Chattanooga PCGroup PAC ID 9931431665, 5 clinicians

Practice addresses (Care Compare)

6031 Shallowford Rd
Suite 113
Chattanooga, TN 37421-1984
Phone (423) 825-8500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1-159517ALMDRegistered Nurse
241318TNMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Faraday Chattanooga PC CurrentSince May 24, 2024 Accepting new patients

Locations

6031 Shallowford Rd
Ste 113
Chattanooga, TN 37421
Phone (423) 648-4181

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.

NPI Registry JSON

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

{
    "created_epoch": "1568678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741046400000",
    "number": "1811547201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9136 CARISSA DR",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370278848",
            "telephone_number": "256-794-2477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6031 SHALLOWFORD RD STE 113",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374211984",
            "telephone_number": "423-825-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUMBLE",
        "first_name": "MARTHA",
        "middle_name": "KATHERINE",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-17",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AL",
            "license": "1-159517",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "241318",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "26695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARTHA",
            "last_name": "SCROGGINS",
            "middle_name": "KATHERINE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.