Healthcare Provider Details

I. General information

NPI: 1508322751
Provider Name (Legal Business Name): ELIZABETH MACKENZIE BAUMEISTER MSN, FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/13/2019
Last Update Date: 08/02/2024
Certification Date: 08/02/2024
Deactivation Date: 05/01/2019
Reactivation Date: 05/15/2019

III. Provider practice location address

2400 PATTERSON ST STE 502
NASHVILLE TN
37203-6511
US

IV. Provider business mailing address

3024 BUSINESS PARK CIR
GOODLETTSVILLE TN
37072-3132
US

V. Phone/Fax

Practice location:
  • Phone: 615-515-1900
  • Fax: 615-292-4633
Mailing address:
  • Phone: 615-239-2018
  • Fax: 615-851-2018

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number5014178
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code363LC0200X
TaxonomyCritical Care Medicine Nurse Practitioner
License Number95011717
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number2012273
License Number StateCA
# 4
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95011717
License Number StateCA
# 5
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number30064
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: