Individual provider Active NPI

Mary Hannah Thiele, FNP-C

  • Family Nurse Practitioner
  • Nashville, TN
National Provider Identifier
1831852037
Registry record updated Oct 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
30484 Issued in TN
Practice address
410 42ND Ave N Ste 400
Nashville, TN 37209-3658
Phone
(615) 329-7887
NPI assigned
Oct 15, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2023

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 30484 TN Primary

Addresses

Primary practice location

410 42ND Ave N Ste 400
Nashville, TN 37209-3658

Mailing address

410 42ND Ave N Ste 400
Nashville, TN 37209-3658
Phone (615) 329-7887

Other practice location 1

1911 State St
Nashville, TN 37203-2209
Phone (615) 284-2015

Other names 1

  • Miss Mary Hannah Bolar 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
I20220314001006 TN Practitioner - Nurse Practitioner 7719372507 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tennessee Oncology PLLCGroup PAC ID 4688586134, 355 clinicians

Practice addresses (Care Compare)

2004 Hayes St
Suite 350
Nashville, TN 37203-2650
Phone (615) 312-3333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Surgical Clinic PLLC CurrentSince Nov 15, 2023 Accepting new patients
Tennessee Oncology PLLC CurrentSince Dec 1, 2024 Accepting new patients
Saint Thomas Medical Partners CurrentSince Mar 13, 2022 Accepting new patients
Saint Thomas Medical Partners CurrentSince Mar 13, 2022 Accepting new patients

Locations

410 42nd Ave N
Ste 400
Nashville, TN 37209
Phone (615) 292-5722

4535 Harding Pike
Ste 304
Nashville, TN 37205
Phone (615) 269-9007

1911 State St
Nashville, TN 37203
Phone (615) 284-2015

300 20th Ave N
Ste 403
Nashville, TN 37203
Phone (615) 284-4088

356 24th Ave N
Ste 300
Nashville, TN 37203
Phone (615) 301-5264

2004 Hayes St
Ste 350
Nashville, TN 37203
Phone (615) 312-3333

300 20th Ave N
Fl 9
Nashville, TN 37203

410 42nd Ave N
Ste 300
Nashville, TN 37209
Phone (615) 321-6161

1750 Cedar Ln
Ste 200
Tullahoma, TN 37388
Phone (615) 333-2481

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IIJFBA

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": "1634256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698278400000",
    "number": "1831852037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 42ND AVE N STE 400",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372093658",
            "telephone_number": "615-329-7887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 42ND AVE N STE 400",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372093658",
            "telephone_number": "615-329-7887"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1911 State St",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372032209",
            "country_code": "US",
            "telephone_number": "615-284-2015",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THIELE",
        "first_name": "MARY",
        "middle_name": "HANNAH",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-15",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "30484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "BOLAR",
            "middle_name": "HANNAH",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.