Individual provider Active NPI

Helene Angeline Fodra Sandoval, MSN, FNP-C

  • Family Nurse Practitioner
  • Smyrna, TN
National Provider Identifier
1841833951
Registry record updated Dec 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26716 Issued in TN
Practice address
515 Stonecrest Pkwy Ste 100
Smyrna, TN 37167-6827
Phone
(615) 223-7227
NPI assigned
Oct 21, 2019
Last updated
Dec 26, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2024

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 26716 TN Primary

Addresses

Primary practice location

515 Stonecrest Pkwy Ste 100
Smyrna, TN 37167-6827

Mailing address

515 Stonecrest Pkwy Ste 100
Smyrna, TN 37167-6827
Phone (615) 223-7227

Other practice location 1

1195 Old Hickory Blvd Ste 103
Brentwood, TN 37027-4239
Phone (615) 373-2000

Other identifiers 1

IdentifierTypeStateIssuer
Q053705MedicaidTN

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
I20191231000670 TN Practitioner - Nurse Practitioner 7113351073 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
America's Family Doctors, PLLCGroup PAC ID 6305821877, 11 clinicians

Practice addresses (Care Compare)

515 Stonecrest Pkwy
Suite 100
Smyrna, TN 37167-6827
Phone (615) 223-7227

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
America's Family Doctors, PLLC CurrentSince Oct 22, 2019 Accepting new patients

Locations

1195 Old Hickory Blvd
Ste 103
Brentwood, TN 37027
Phone (615) 373-2000

515 Stonecrest Pkwy
Ste 100
Smyrna, TN 37167
Phone (615) 223-7227

Interoperability endpoints

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1571616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735171200000",
    "number": "1841833951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 STONECREST PKWY STE 100",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371676827",
            "telephone_number": "615-223-7227",
            "fax_number": "615-891-5002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 STONECREST PKWY STE 100",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371676827",
            "telephone_number": "615-223-7227"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1195 Old Hickory Blvd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Brentwood",
            "state": "TN",
            "postal_code": "370274239",
            "country_code": "US",
            "telephone_number": "615-373-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANDOVAL",
        "first_name": "HELENE ANGELINE",
        "middle_name": "FODRA",
        "credential": "MSN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-21",
        "last_updated": "2024-12-26",
        "certification_date": "2024-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "26716",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q053705",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Smyrna, TN

Sources for this page

Verify at the official NPI Registry.