Individual provider Active NPI

Chante Smith Fason, FNP, APRN, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Memphis, TN
National Provider Identifier
1902966765
Registry record updated Jan 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
7696 Issued in TN
Practice address
6005 Park Ave Ste 630B
Memphis, TN 38119-5226
Phone
(901) 767-1136
Fax
(901) 767-0436
NPI assigned
Dec 11, 2006
Last updated
Jan 30, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN0000007696 TN
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 7696 TN Primary
Primary Care Nurse Practitioner 363LP2300X APN0000007696 TN

Addresses

Primary practice location

6005 Park Ave Ste 630B
Memphis, TN 38119-5226

Mailing address

5821 Park Ave
Memphis, TN 38119-5134
Phone (901) 450-3995

Other practice location 1

1331 Union Ave Ste 1152
Memphis, TN 38104-7509
Phone (901) 450-3995 ext. 101

Other identifiers 1

IdentifierTypeStateIssuer
1519348MedicaidTN

Other names 1

  • Mrs. Chante Smith Fason Professional 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
I20080826000182 TN Practitioner - Nurse Practitioner 0446358634 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Wellness SpaceGroup PAC ID 6709370778, 2 clinicians
Vogelfanger and Struble ClinicGroup PAC ID 6608963954, 11 clinicians

Practice addresses (Care Compare)

1331 Union Ave
Suite 1152
Memphis, TN 38104-7509
Phone (901) 450-3995

6005 Park Ave
Suite 630B
Memphis, TN 38119-5226
Phone (901) 767-1136

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN0000007696TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Wellness Space Family CurrentSince Nov 18, 2025 Accepting new patients
The Wellness Space Family CurrentSince Nov 10, 2025 Accepting new patients
Vogelfanger and Struble Clinic Psychiatric/Mental Health CurrentSince Oct 13, 2020 Accepting new patients
House Call Practioners of Tennessee LLC Past Accepting new patients
Vanderbilt University PastSince Jun 25, 2018 Accepting new patients
Healthy Choices of TN Past Accepting new patients
Dr Chante Fason, Inc Family PastSince May 26, 2024 Accepting new patients

Locations

1331 Union Ave
Ste 1152
Memphis, TN 38104
Phone (901) 450-3995

6005 Park Ave
Ste 630B
Memphis, TN 38119
Phone (901) 767-1136

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, 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": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769731200000",
    "number": "1902966765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5821 PARK AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381195134",
            "telephone_number": "901-450-3995",
            "fax_number": "901-450-3993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6005 PARK AVE STE 630B",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381195226",
            "telephone_number": "901-767-1136",
            "fax_number": "901-767-0436"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1331 Union Ave Ste 1152",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381047509",
            "country_code": "US",
            "telephone_number": "901-450-3995 x101",
            "fax_number": "901-450-3995",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FASON",
        "first_name": "CHANTE",
        "middle_name": "SMITH",
        "name_prefix": "Mrs.",
        "credential": "FNP, APRN, PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-11",
        "last_updated": "2026-01-30",
        "certification_date": "2026-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000007696",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "7696",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TN",
            "license": "APN0000007696",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1519348",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHANTE",
            "last_name": "FASON",
            "middle_name": "SMITH",
            "prefix": "MRS.",
            "credential": "FNP, APRN, PMHNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.