Individual provider Active NPI

Sara Mebrahtu, NP-C

  • Family Nurse Practitioner
  • Smyrna, TN
National Provider Identifier
1972267540
Registry record updated Nov 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN0000030643 Issued in TN
Practice address
463 W Sam Ridley Pkwy
Smyrna, TN 37167-5626
Phone
(615) 768-4258
NPI assigned
Oct 28, 2021
Last updated
Nov 12, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2022

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 APN0000030643 TN Primary

Addresses

Primary practice location

463 W Sam Ridley Pkwy
Smyrna, TN 37167-5626

Mailing address

4585 Xavier Dr
Antioch, TN 37013-2762
Phone (615) 705-1973

Other practice location 1

4585 Xavier Dr
Antioch, TN 37013-2762
Phone (615) 705-1973

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
I20221121000708 TN Practitioner - Nurse Practitioner 4688042831 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
85.88 of 100Reported as group
Quality
71.04
Promoting interoperability
100
Improvement activities
40
Cost
81.88

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APN0000030643TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Little Clinic of Tennessee LLC Family CurrentSince Nov 30, 2022 Accepting new patients

Locations

6690 Nolensville Rd
Brentwood, TN 37027
Phone (615) 941-7640

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

463 W Sam Ridley Pkwy
Smyrna, TN 37167
Phone (615) 355-6620

Interoperability endpoints

  • Direct secure messaging: sara.mebrahtu@krogerhealth.eclinicaldirectplus.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1635379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668211200000",
    "number": "1972267540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4585 XAVIER DR",
            "city": "ANTIOCH",
            "state": "TN",
            "postal_code": "370132762",
            "telephone_number": "615-705-1973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "463 W SAM RIDLEY PKWY",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371675626",
            "telephone_number": "615-768-4258"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4585 Xavier Dr",
            "address_purpose": "LOCATION",
            "city": "Antioch",
            "state": "TN",
            "postal_code": "370132762",
            "country_code": "US",
            "telephone_number": "615-705-1973",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEBRAHTU",
        "first_name": "SARA",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-28",
        "last_updated": "2022-11-12",
        "certification_date": "2022-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000030643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smyrna, TN

Sources for this page

Verify at the official NPI Registry.