Individual provider Active NPI

Colleen S Friddell, M.D.

  • Psychiatry Physician
  • Nashville, TN
National Provider Identifier
1942332499
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD0000030729 Issued in TN
Practice address
2601 Elm Hill Pike
Suite M
Nashville, TN 37214-3155
Phone
(615) 232-8696
Fax
(615) 232-8234
NPI assigned
Mar 11, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD0000030729 TN Primary

Addresses

Primary practice location

2601 Elm Hill Pike
Suite M
Nashville, TN 37214-3155

Mailing address

2601 Elm Hill Pike
Suite M
Nashville, TN 37214-3155
Phone (615) 232-8696

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160114002009 TN Order and Referring Only - PsychiatryPractitioner - Psychiatry 2769785393

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD0000030729TNMDPsychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1173571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942332499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 ELM HILL PIKE",
            "address_2": "SUITE M",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372143155",
            "telephone_number": "615-232-8696",
            "fax_number": "615-232-8234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 ELM HILL PIKE",
            "address_2": "SUITE M",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372143155",
            "telephone_number": "615-232-8696",
            "fax_number": "615-232-8234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIDDELL",
        "first_name": "COLLEEN",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TN",
            "license": "MD0000030729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.