NPIMap

Organization Active NPI

Nashville Pediatric Providers, LLC

Doing business as Academy Children's Clinic

  • Pediatric Nurse Practitioner
  • Nashville, TN
National Provider Identifier
1992144380
Registry record updated Apr 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
8448 Issued in TN
Legal business name
NASHVILLE PEDIATRIC PROVIDERS, LLC
Doing business as
Academy Children's Clinic
Practice address
590 Benzing Road
Nashville, TN 37211
Phone
(615) 988-2340
NPI assigned
Jun 18, 2013
Last updated
Apr 25, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2024

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

Authorized official

Name
Mr. Joseph Sanfilippo, PNPNPI 1629127303
Title
Owner
Phone
(615) 988-2340

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
Pediatric Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0200X 8448 TN Primary

Addresses

Primary practice location

590 Benzing Road
Nashville, TN 37211

Mailing address

PO Box 2047
Brentwood, TN 37024-2047
Phone (615) 988-2340

Other practice location 1

5530 Eulala Dr
Nashville, TN 37211-6145
Phone (615) 988-2340

Other names 1

  • Academy Children's Clinic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140217001108 TN Part B Supplier - Clinic/Group Practice 5698904662 Receives reassigned benefits from 3 practitioners
Practice locations: Antioch, TN

National Provider Directory

National Provider Directory

Locations

590 Benzing Rd
Antioch, TN 37013
Phone (615) 988-2340

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1371513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714003200000",
    "number": "1992144380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2047",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370242047",
            "telephone_number": "615-988-2340",
            "fax_number": "615-988-2643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 BENZING ROAD",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "37211",
            "telephone_number": "615-988-2340"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5530 Eulala Dr",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372116145",
            "country_code": "US",
            "telephone_number": "615-988-2340",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NASHVILLE PEDIATRIC PROVIDERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-18",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-25",
        "status": "A",
        "authorized_official_last_name": "SANFILIPPO",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-988-2340",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PNP"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TN",
            "license": "8448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Academy Children's Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Academy Children's Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.