Active NPI
Melissa Erin Carolan, A.P.N.
- Nurse Practitioner
- Cookeville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 15983
- Practice address
- 406 N Whitney Ave Ste 5
Cookeville, TN 38501-4243 - Phone
- (931) 783-4269
- Fax
- (931) 372-0401
- NPI assigned
- Feb 28, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 15983 | TN | Primary |
Addresses
Primary practice location
406 N Whitney Ave Ste 5
Cookeville, TN 38501-4243
Mailing address
4230 Harding Pike
Ste 530
Nashville, TN 37205-2094
Phone (615) 222-5500
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1525896 | Medicaid | TN | |
| 7100423390 | Medicaid | KY | |
| 4310834 | Other | TN | BCBS |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- University of Tennessee, HSC, College of Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
300 20TH Ave N
Nashville, TN 37203-2131
Phone (615) 284-1400
4220 Harding Pike
Nashville, TN 37205-2005
Phone (615) 222-6977
Hospital & facility affiliations
- Ascension Saint Thomas Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Thomas Medical Partners | Current | Accepting new patients |
Locations
300 20th Ave N
Ste 403
Nashville, TN 37203
Phone (615) 284-4088
300 20th Ave N
Fl 9
Nashville, TN 37203
4230 Harding Pike
Ste 530
Nashville, TN 37205
Phone (615) 222-5500
Interoperability endpoints
- melissa.carolan.1@7654.direct.athenahealth.com
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Nashville, TN
- NPI 1437194669
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Nashville, TN
- NPI 1629025648
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581984000000",
"number": "1942337589",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4230 HARDING PIKE",
"address_2": "STE 530",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372052094",
"telephone_number": "615-222-5500",
"fax_number": "615-222-5601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "406 N WHITNEY AVE STE 5",
"city": "COOKEVILLE",
"state": "TN",
"postal_code": "385014243",
"telephone_number": "931-783-4269",
"fax_number": "931-372-0401"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAROLAN",
"first_name": "MELISSA",
"middle_name": "ERIN",
"name_prefix": "Ms.",
"credential": "A.P.N.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-28",
"last_updated": "2020-02-18",
"certification_date": "2020-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TN",
"license": "15983",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1525896",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100423390",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "4310834",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cookeville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.