Provider Demographics
NPI:1932813086
Name:TATE, ALEXANDRIA TAYLOR GOLD (PMHNP-BC)
Entity type:Individual
Prefix:
First Name:ALEXANDRIA
Middle Name:TAYLOR GOLD
Last Name:TATE
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:ALEXANDRIA
Other - Middle Name:
Other - Last Name:GOLD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PMHNP-BC
Mailing Address - Street 1:3800 GALLATIN PIKE
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37216-2610
Mailing Address - Country:US
Mailing Address - Phone:615-224-9800
Mailing Address - Fax:615-224-9840
Practice Address - Street 1:3800 GALLATIN PIKE
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37216-2610
Practice Address - Country:US
Practice Address - Phone:781-608-7358
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-12
Last Update Date:2025-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2330499163W00000X
TN236533163WP0808X
TN33196363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse
No163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN33196OtherAPRN