Provider Demographics
NPI:1548447840
Name:RAGSDALE, NIKITA N (ACNP, RN, NP)
Entity type:Individual
Prefix:
First Name:NIKITA
Middle Name:N
Last Name:RAGSDALE
Suffix:
Gender:F
Credentials:ACNP, RN, NP
Other - Prefix:
Other - First Name:NIKITA
Other - Middle Name:
Other - Last Name:NICKS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:580 FRANKLIN RD STE 200
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37069-8224
Mailing Address - Country:US
Mailing Address - Phone:615-727-9911
Mailing Address - Fax:833-963-0850
Practice Address - Street 1:580 FRANKLIN RD STE 400
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37069-8222
Practice Address - Country:US
Practice Address - Phone:615-727-9911
Practice Address - Fax:833-963-0850
Is Sole Proprietor?:No
Enumeration Date:2008-01-29
Last Update Date:2023-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN11595363LA2100X
TNAPN11595363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1507723Medicaid
KY7100089200Medicaid
KY7100089200Medicaid
TN1507723Medicaid
TN103I501910Medicare PIN