Active NPI
Patricia Portilla, WHNP
- Women's Health Nurse Practitioner
- Nashville, TN
National Provider Identifier
1962558700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- 12715
- Practice address
- 5201 Charlotte Pike
Nashville, TN 37209-3320 - Phone
- (615) 222-1900
- Fax
- (615) 222-1917
- NPI assigned
- Jan 26, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Women's Health Care Registered Nurse | 163WW0101X | 151993 | TN | |
| Women's Health Nurse Practitioner | 363LW0102X | 12715 | TN | Primary |
Addresses
Primary practice location
5201 Charlotte Pike
Nashville, TN 37209-3320
Mailing address
PO Box 24730
Nashville, TN 37202-4730
Phone (615) 386-2300
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1521352 | Medicaid | TN | |
| 4279925 | Other | TN | BCBST |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 151993 | TN | MD | Ambulatory Women's Health Care Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Richland Internal Medicine LLC | Past | Accepting new patients | |
| Children and Adults Medical Group, LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Multi-Specialty Clinic/Center
- Nashville, TN
- NPI 1659487494
-
- General Practice Physician
- Mt Juliet, TN
- NPI 1891850780
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1296691200000",
"number": "1962558700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 24730",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372024730",
"telephone_number": "615-386-2300",
"fax_number": "615-386-2399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5201 CHARLOTTE PIKE",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372093320",
"telephone_number": "615-222-1900",
"fax_number": "615-222-1917"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PORTILLA",
"first_name": "PATRICIA",
"credential": "WHNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-26",
"last_updated": "2011-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "163WW0101X",
"taxonomy_group": "",
"desc": "Registered Nurse, Women's Health Care, Ambulatory",
"state": "TN",
"license": "151993",
"primary": false
},
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "TN",
"license": "12715",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1521352",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBST",
"identifier": "4279925",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Nashville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.