Organization Active NPI

Prosperity Mental Wellness Center, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Nashville, TN
National Provider Identifier
1891477501
Registry record updated Sep 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
PROSPERITY MENTAL WELLNESS CENTER, LLC
Practice address
5906 Charlotte Pike Ste D
Nashville, TN 37209-3181
Phone
(615) 828-0884
NPI assigned
Aug 2, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2023

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

Authorized official

Name
Stasha Nicole Hampton, APRN, PMHNP-BCNPI 1407522980
Title
Owner, Healthcare Provider
Phone
(629) 888-4161

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

5906 Charlotte Pike Ste D
Nashville, TN 37209-3181

Mailing address

5906 Charlotte Pike Ste D
Nashville, TN 37209-3181
Phone (615) 828-0884

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231019002034 TN Part B Supplier - Clinic/Group Practice 9931555463 Receives reassigned benefits from 1 practitioner
Practice locations: Nashville, TN

National Provider Directory

National Provider Directory

Locations

5906 Charlotte Pike
Ste D
Nashville, TN 37209
Phone (615) 828-0884

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1690934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694044800000",
    "number": "1891477501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5906 CHARLOTTE PIKE STE D",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372093181",
            "telephone_number": "615-828-0884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5906 CHARLOTTE PIKE STE D",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372093181",
            "telephone_number": "615-828-0884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSPERITY MENTAL WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-02",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A",
        "authorized_official_last_name": "HAMPTON",
        "authorized_official_first_name": "STASHA",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER, HEALTHCARE PROVIDER",
        "authorized_official_telephone_number": "629-888-4161",
        "authorized_official_credential": "APRN, PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.