Individual Healthcare Provider
Selena Srisourath
Provider's NPPES record last updated: January 21, 2026
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1083418032
- Primary Specialty
- Nurse Practitioner — Family
- Practice Location
- Hermitage, Tennessee
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 18, 2026, 4:06 AM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Nurse Practitioner
Family
Physician Assistants & Advanced Practice Nursing Providers
Definition to come...
Taxonomy code 363LF0000X
Provider-Reported License Information
- Nurse Practitioner (Tennessee)
- 38212
Practice Locations
Practice Location
3901 Central Pike Ste 351
Hermitage, Tennessee 37076-3422
Phone: (615) 889-8802
Additional Practice Location
100 Springhouse Ct Ste 210
Hendersonville, Tennessee 37075-1610
Phone: (615) 889-8802
Fax: (615) 889-0583
Additional Practice Location
4230 Harding Pike Ste 400
Nashville, Tennessee 37205-4900
Phone: (615) 386-9089
Fax: (615) 386-2197
Additional Practice Location
920 S Hartmann Dr Ste 100
Lebanon, Tennessee 37090-4137
Phone: (615) 889-8802
Fax: (615) 889-0583
Record Information
- Enumeration Date
- April 1, 2025
- Provider's NPPES Record Last Updated
- January 21, 2026
- Certification Date
- January 21, 2026
- NPISignal NPPES Dataset
- August 2026
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