Individual provider Active NPI

Selam Yosef

  • Family Nurse Practitioner
  • Smyrna, TN
National Provider Identifier
1962805929
Registry record updated Oct 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN0000019162 Issued in TN
Practice address
519 E. Enon Springs
Smyrna, TN 37167-4409
Phone
(615) 355-1994
NPI assigned
Oct 6, 2014
Last updated
Oct 29, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN0000019162 TN Primary

Addresses

Primary practice location

519 E. Enon Springs
Smyrna, TN 37167-4409

Mailing address

519 E. Enon Springs
Smyrna, TN 37167-4409

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150402002212 TN Practitioner - Nurse Practitioner 4284951153 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Progressive Care Medical Group of TN PLLCGroup PAC ID 8527321116, 15 clinicians

Practice addresses (Care Compare)

329 Murfreesboro Pike
Nashville, TN 37210-2834
Phone (615) 244-6900

438 N Water Ave
Gallatin, TN 37066-2306
Phone (615) 452-2322

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APN0000019162TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Progressive Care Medical Group of TN PLLC CurrentSince Dec 10, 2023 Accepting new patients
The Little Clinic of Tennessee LLC Family CurrentSince Jul 26, 2016 Accepting new patients

Locations

150 Eileen Way
Unit 1
Syosset, NY 11791
Phone (516) 855-5255

438 N Water Ave
Gallatin, TN 37066
Phone (615) 452-2322

2449 Old Fort Pkwy
Murfreesboro, TN 37128
Phone (615) 225-0140

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1412553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414540800000",
    "number": "1962805929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 E. ENON SPRINGS",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371674409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 E. ENON SPRINGS",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371674409",
            "telephone_number": "615-355-1994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOSEF",
        "first_name": "SELAM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-06",
        "last_updated": "2014-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000019162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smyrna, TN

Sources for this page

Verify at the official NPI Registry.