Sarah Smith Koberlein, RN, BSN, PMHNP-BC
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Louisville, TN
NPI 1962027102 · NPPES record last updated Aug 5, 2020
Key facts
- NPI
- 1962027102
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 27661 (TN)
- Practice address
- 2347 Jones Bend Rd
Louisville, TN 37777-5233 - Phone
- (865) 970-9800
- NPI assigned
- Jun 13, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Bachelor on Science - Nursing, Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Dynamics Behavioral Health LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 27661 | TN | Yes |
Addresses
Primary practice location
2347 Jones Bend Rd
Louisville, TN 37777-5233
Mailing address
2347 Jones Bend Rd
Louisville, TN 37777-5213
Phone (865) 970-9800
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q058457 | Medicaid | TN |
Other names
- Sarah Jessica Smith
Other providers in Louisville, TN
- Carole Ruth Jewett
- Emily Starr Jones
- Jonathan Shreve Kamar
- Kci USA, Inc.
- Brett Matthew Kleinhans
- Polina Kopylova
- Laraine Lieberman
- Linda Marie Lindsay
- Justine Link
- Timothy Isaac Miller Locastro
All providers in Louisville, TN · Psychiatric/Mental Health Nurse Practitioner in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 5, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.