Individual provider Active NPI

Joshua Thompson, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Chattanooga, TN
National Provider Identifier
1902275910
Registry record updated Dec 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
9349622 Issued in TN
Practice address
804 N Holtzclaw Ave
Chattanooga, TN 37404-1235
Phone
(615) 828-8505
NPI assigned
Sep 20, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 17, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 9349622 TN Primary

Addresses

Primary practice location

804 N Holtzclaw Ave
Chattanooga, TN 37404-1235

Mailing address

804 N Holtzclaw Ave
Chattanooga, TN 37404-1235
Phone (615) 828-8505

Other practice location 1

1432 W Main St
Lebanon, TN 37087-1323
Phone (615) 444-1880

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
I20151209001151 TN Practitioner - Nurse Practitioner 0143521583 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
9349622TNMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Erlanger Health CurrentSince Mar 3, 2025 Accepting new patients
State of Tennessee Current Accepting new patients
State of Tennessee CurrentSince Apr 1, 2016 Accepting new patients
Erlanger Behavioral Health, LLC CurrentSince Oct 1, 2019 Accepting new patients
Erlanger Health CurrentSince Mar 3, 2025 Accepting new patients
State of Tennessee State F&a Payroll CurrentSince Apr 1, 2016 Accepting new patients
Faraday Chattanooga PC Past Accepting new patients

Locations

804 N Holtzclaw Ave
Chattanooga, TN 37404
Phone (423) 463-4408

975 E 3rd St
Chattanooga, TN 37403
Phone (423) 266-1499

221 Stewarts Ferry Pike
Nashville, TN 37214
Phone (615) 902-7400

500 Deaderick St
Bldg 6TH
Nashville, TN 37242

2600 Taft Hwy
Ste 100
Signal Mtn, TN 37377
Phone (423) 778-9434

Organizations & group practices 7

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": "1442707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576540800000",
    "number": "1902275910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 N HOLTZCLAW AVE",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374041235",
            "telephone_number": "615-828-8505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 N HOLTZCLAW AVE",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374041235",
            "telephone_number": "615-828-8505"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1432 W Main St",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "TN",
            "postal_code": "370871323",
            "country_code": "US",
            "telephone_number": "615-444-1880",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "JOSHUA",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-09-20",
        "last_updated": "2019-12-17",
        "certification_date": "2019-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "9349622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.