Active NPI
Jana Marie Tolleson
- Registered Nurse
- Springfield, TN
National Provider Identifier
1003285388
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 176612
- Practice address
- 800 S Brown St
Springfield, TN 37172-2920 - Phone
- (615) 384-4504
- NPI assigned
- Sep 17, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intermediate Emergency Medical Technician | 146M00000X | 38467 | TN | |
| Registered Nurse | 163W00000X | 176612 | TN | Primary |
Addresses
Primary practice location
800 S Brown St
Springfield, TN 37172-2920
Mailing address
800 S Brown St
Springfield, TN 37172-2920
Phone (615) 384-4504
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 176612 | TN | MD | Registered Nurse |
| 38467 | TN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1442448000000",
"number": "1003285388",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 S BROWN ST",
"city": "SPRINGFIELD",
"state": "TN",
"postal_code": "371722920",
"telephone_number": "615-384-4504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 S BROWN ST",
"city": "SPRINGFIELD",
"state": "TN",
"postal_code": "371722920",
"telephone_number": "615-384-4504"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOLLESON",
"first_name": "JANA",
"middle_name": "MARIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-17",
"last_updated": "2015-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "146M00000X",
"taxonomy_group": "",
"desc": "Emergency Medical Technician, Intermediate",
"state": "TN",
"license": "38467",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TN",
"license": "176612",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Springfield, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.