Nicholas Averill

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

580 Issued in TN

Practice address

2740 Saint Andrews Dr
Murfreesboro, TN 37128-6684

Phone

(615) 632-2003

NPI assigned

Aug 29, 2019

Sex

Male

Sole proprietor

No

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.

• Autism Education & Therapy Center, LLC

  • Early Intervention Provider Agency
  • Nashville, TN
  • NPI 1699242420
  NPD (past)
• Hopebridge LLC

  • Child & Adolescent Psychiatry Physician
  • Brentwood, TN
  • NPI 1881352177

  Behavior Analyst

  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 8, 2024.

{
    "created_epoch": "1567036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709856000000",
    "number": "1922656263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 DEPAUW BLVD STE 3070",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462686135",
            "telephone_number": "855-324-0885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2740 SAINT ANDREWS DR",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371286684",
            "telephone_number": "615-632-2003"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7007 Stage Rd",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381334977",
            "country_code": "US",
            "telephone_number": "901-677-0422",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "527 N Maple St",
            "address_purpose": "LOCATION",
            "city": "Murfreesboro",
            "state": "TN",
            "postal_code": "371302833",
            "country_code": "US",
            "telephone_number": "615-205-3507",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5511 Edmondson Pike Ste 105",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372116852",
            "country_code": "US",
            "telephone_number": "615-560-1331",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AVERILL",
        "first_name": "NICHOLAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-29",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TN",
            "license": "580",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q055678",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richelle Austin
• Stephen B Austin, M.D.
• Patrice Autman
• Avagrace Medical Supply Inc
• Andrei Aragon Avenido, M.D.
• Awcc
• Amy Riddle Ayer, FNP
• Cassandra Jolie Ayers
• Joseph Daniel Ayers, PA-C
• Walaa Ayoub

• All providers in Murfreesboro, TN
• Behavior Analyst in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.