NPIMap

Organization Active NPI

Cornerstone Primary Healthcare, Inc

  • Adult Health Nurse Practitioner
  • Hendersonville, TN
National Provider Identifier
1942525779
Registry record updated Dec 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APN13657 Issued in TN
Legal business name
CORNERSTONE PRIMARY HEALTHCARE, INC
Practice address
117 Maple Row Blvd
Hendersonville, TN 37075-3853
Phone
(615) 824-1616
Fax
(615) 824-1622
NPI assigned
Apr 5, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2022

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

Authorized official

Name
Melanie Lowe, APNNPI 1255576500
Title
Nurse Practitioner
Phone
(317) 658-4638

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363LA2200X APN13657 TN Primary

Addresses

Primary practice location

117 Maple Row Blvd
Hendersonville, TN 37075-3853

Mailing address

117 Maple Row Blvd
Hendersonville, TN 37075-3853
Phone (615) 824-1616

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100628000664 TN Part B Supplier - Clinic/Group Practice 0648301168 Receives reassigned benefits from 7 practitioners
Practice locations: Hendersonville, TN

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D2013503Cornerstone Primary Healthcare117 Maple Row Blvd, Hendersonville, TN 37075Certificate of waiverSep 20, 2026

National Provider Directory

National Provider Directory

Locations

117 Maple Row Blvd
Hendersonvlle, TN 37075
Phone (615) 824-1616

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1270425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671667200000",
    "number": "1942525779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 MAPLE ROW BLVD",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370753853",
            "telephone_number": "615-824-1616",
            "fax_number": "615-824-1622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 MAPLE ROW BLVD",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370753853",
            "telephone_number": "615-824-1616",
            "fax_number": "615-824-1622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE PRIMARY HEALTHCARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-05",
        "last_updated": "2022-12-22",
        "certification_date": "2022-12-22",
        "status": "A",
        "authorized_official_last_name": "LOWE",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "317-658-4638",
        "authorized_official_credential": "APN"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TN",
            "license": "APN13657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hendersonville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.